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Meter Swap ;� � �N�� 6 f r �v �k� .a�� ..,.�y h t:v � s �. . � � ' � �_ , , .{+,s . �: : � �— _ ;� . . . �,. . ,� �. . . � ' . � "__ _" . .�. �:.. �. . . ._. _. __ . _ , _ - ._ '�� :�•�. 1a�� city of Friaiey Water Department d ' ��' address � Name � ZZ' � Date . b - ��"- �� O1d Meter Number P � � Old Meter Reading � /�d Replacement No. ! ��`3 �"3 Replacement Reading � Replacement Make �✓�t{'°"'� Remarks: ` �a� h"'P�� Signed '� y I L1 �:1��-�s�-`�s�!c.% � ri/ INSTALLATION unroF AUTOMATIC METER READER FRIDLEY Address �� Name �� L��F-�C�, Date �J-� I C?- l� Old Meter Number �� Old Meter Reading � Replacement No. Replacement Reading Qf Replacement Make�� ERT# �� C�Q � Replacement ERT# Remarks: �;,1��- Signed: _ �.. .. ... ....... � � _�1� :� ___ __ _��_� _ __�__.� _�_____�_�_ � _ � � _____________.__ ____��_____ __ �._.�� ; , - b� �� #1�� :�uipea� �a� �u►`�fi� # ,�� -� ��J 1 :f uiP"'e�a� PI� �L ) L(��. # �� I� =�� v -�� ,5�,� :�� -��$�u�� =�� c�-�c =�� .�s r�� =�► �� r� �� a�r =�i � z�ozr�� -z�.-�� =�� , ! ♦ City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 I/we hereby authorize the City of Fridley and/or its employees to do what is ne essary to replace the wate�meter. I understand that the property owner is liable for the water line f m the main to the premise and aN interior plumbing. (Per City code . 402.06) I also hold the City f Fridley and/its employees harmless for any damages that may occur while doing this operation. his to include,but not fimited to;valves,piping,walls,floors or the curb � stop box and ser�ice line. I nderstand I am also required to obtain a permit prio�to any work,if necessary. Final meter reading(old mete � � 1 �F�^�J' Nar�te� Address '�� n ( ' �� — Phone Number: Date: �r `� �� Signature: - _ Witness Signature: FRIDLEY CITY CODE CHAPT 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord No 13,464,565,566,629,638,662,922,988,1144,1156, 1191) 402.05. PERMIT FEE Prior to constructing or repair f any water or sewer line connecting the existing municipal system and anjr house or buiiding far which the appli tion is made,the owner or contractor shall be requi�ed to obtain a permit for such connection,and shali pay a pe it fee as provided in Chapter 11 of this Code. After such connection has been `� made,the Water and Sewer D artment shall be notified. It shall be unlawful to cover any connecting line until an inspection has been made and uch connection and the work incident thereto has been approved by the City as a proper and suitable connectio � 4U2.�6. REPAIRS AND MAI ENANCE TO CONNECTION After the initial connection has een made to the water service curb stop box or the sewer lead at the property line or a water service or sewe lead has been extended to the property line for connection,the applicant,owner, or the occupant or user of suc premises shall be liabie for all repairs required to any water line and sewer lines necessary for connection of th premises from the main to the premises. if the property owner requests maintenance service or repair be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs, i cluding any necessary street repairs,at a rate set annually by an administrative policy. It shall be the responsi ility of the applicant,owner,occupant ar user to pe�form standard maintenance of the sewer service line from th premises to the main including debris clearing or root cutting and to maintain the water service curb stop box fo operability and at such height as will ensure that it remains above the finished grade of the land or property. Ref 638,1156,1191)