Meter Swap ��
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City of Fridley
Water De�artment
Address ILAJ�� V����
Name ! ue��S�
Date ' �`�tT�
Old Meter Number� �
Old Meter Reading � �
Replacement No. �-.� Q
Replacement Reading � �
Replacement Make ��
Remarks• ()�� �VJ�i�y
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Signed
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��� �" INSTALLATtON
GTYOF AUTOMATIC METER READER
FRIDLEY
Address �
Name ��' � �C L S -
Date 1���- f � ��
Old Meter Number � � ��
Oid Meter Reading �, �
Replacement Na
Replacement Reading f�
Replacement Make �c-�_F
ERT# E��� c���Ze� �
Replacement ERT#
Remarks
����, Signed:
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- � �ity of �ridt�
F� �: 6{91-t2-4�74 �c: �''31f2il12
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- City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(7G3)572-3566
I/we hereby authorixe the City of Fridiey and/or its
empluyees to do what is necessary to replace the water meter. f understand thaC the property owner
is tiable for the water line from the main to the premise and ali interior plumbing. (Per City code
40Z.06) i also hatd the City of Fridley andJits emptoyees harmless for any damages that may occur
white doing this aperation. This to include,but nat limited to;vaives,piping,walls,fioors or the curb
� stap box and service line. 1 understand I am alsa required ta vbtain a permit prior to any work,if
necessary.
Final meter reading f old meter) �\ ,
Name: Addsess: ���� �����
Phone Numher: Date: �'��� •
Signature: �t "_`�'�'�-�"�'�-�`'�
. Witness 5ignature: ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WAl'ER,AND SANiTARY SEWER
� ADMINISTRATION
(Ref Ord Na 113,464,565,565,629,638,662,922,988,1144,1156,1191)
402.05.PERMtT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anq house
or buifding for which the application is made,the awner or contractor shall6e required to ohtain a permit far such
connection,and shall pay a permit fee as provided in Chapter li of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shalt be unlawful to cover any connecting line until an
inspectian has been made and such connection and the work incident thereto has been approved by the Gty as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has 6een made to the water service curb stop box or the sewer lead at the property
fine or a water servi�e or sewer lead has been extended to the property Ilne for connection,the applica�t,nwner,
or the occupant or user ofsuch premises shall be liable for all�epairs required to any water line and sewer tines
necessary far connection of the premises from the main ta the premises. If the property owner requests
maintenan�e service or repairs be performed by the Ci�Cy,the property owner shali be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. it shall be the respor+sibility of the applicant,owner,occupant or user to perform standard rr�aintenance of
the sewer service iine from the premises to the main incfuding debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,11�6,1191)