Meter Swap •,.:H"� .:�'3 .e w _ � F.
t_ � `� � .� i��1� s�E
'+a �v,R,=::���`
_ ; „ < - xr. , . ,
�. , .,, . ` ,:, , .... ' �'� �. ���� '�� ' . ,:e.."
� Q �
. .� - � ����� , .
�`
City of Fridley
Water Department
Address ��o� QI't''�'4.�' `s``�
Name /...3 c5� ��i.� _
Date 7' % ��'0� _
Old Meter Number � �� Z"I�,_
Old Meter Reading � � ,
Replacement No.��--� ��� ��
Replacement Reading D
Replacement Make �,c .r.��...- .
Remarks: s�a�.�� � �r�,��`�' --
Signed ,
'� ��-� � (�► �=������tv
� � IN�TALLATION
G.N� AUTOMATIC METER READER
FRiDLEY
Address ���FJ`' �!�� �1��Sj
—�
Name �����7 �N`�-�bi�
Date ,�� C�J� 1�
�
Old Meter Number � � �
Old Meter Reading
Replacement No. '� ��+�.� ��
Replacement Reading �
Replacement Make �
ERT# ���� � ���
ReplacementERT#
Remarks:
���� Signed:
1
- F+te�qu+�s�f+rn' '�tXic�: Ft�p�rt
�ii�yy af Fridl�
�: �i-�2-� �t�: 5r�o�2
Tj�e: t�'�� �� ��
�: tNa�er t�ki�t�ne: ��
/�dd�: S�fi4'E��1�`ST''� �P�sane: �3-3�F��6
�d fl�� �1�°10�3ti+I�M {h�er:
�t�: � �: +11�
�'�
Ac�as TaCa�:
C�I�i �!e#er#�' `�ja,�rj ��"7'�
�►Id r��dir���(� l� �,�'I �'��
[�1err� ���er� ��y�.�,�---.
�i�v�r �eading'- �
E��� ����-�� �
�� l
�
d
. .._..�._.�.........._._......._.._..___._.....__�._._..._...�.�......._...._.... ...____._....._...._,._.....� ._.Y _____. —._ �..,____�
��
�!
_ !
��_��--.. �-._._ _., .�.�
__m_ �
- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the praperty owner
is liable for the water line from the main ta the premise and all interior plumbing. (Per City code
40Z.06) 1 also hold the Gty of Fridley andjits emplayees harmless for any damages that may occur
while doing this operation. This to include,buf not limited ta;valves,piping,wafls,floors or the curb
� stop bax and service line. I understand I am also required to abtain a permit priorto any work,if
necessary,
final meter reading�o1d meter) � ������� —
Name: Address:� �R� ��1~`"`�
Phone Number: Date:_ �—� ��� �
Signature: � � ���"•��--`�j�
. Witness Signature: E,\�� - - __
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
� ADMIINISTRATION
(Ref Ord No 113,464,565,566,629,638,6b2,922,988,1144,1156,1191)
402.05.PERMIT FEE
Priar to constructing or repair of any water or sewer li�e connecting the existing municipal system and any house
or buildi�g for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line untif an
inspection has 6een made and such connection arid the work incident thereto has been approved by the City as a
proper and suitabfe connection.
402A6.REPAIRS ANd MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for alf�epairs required to any water{ine and sewer lines
necessary for connection of the premises from the main to the premises. If the property awner requests
maintenance service or r�pairs be perFormed by the City,the pruperty awner shall be charged for the costs of the
mainte�ance and/or repai�s, including any�ecessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
the sewer service line from the premises to the main including 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 of the land or property. (Ref 638,1156, 1191�