Meter Swap __-.__- ---�
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City of Fridley
Water De»artment
Address �C ��i ��y/�Y
Name �v�1p"'�'�-e-
Date �"'.� � �" Q'�
� Old Meter Number / � � ����
Old Meter Reading �� � / �
Replacement No. �
Replacement Reading
Replacement Make_ c�. -��
Remarks: .����- �°''^�-1�"� —
Signed
'� ����'�� 'el�%�.�'i4-�:i
� ��-� INSTALLATION
�.n�. AUTOMATIC METER READER
FRIDLEY
Address If�"ti� l �,���t.�J�.-
Name �i�.l..�I.�l.:, �'R��F�
Date {�'�`' ��
Old Meter Number C� � ��
Old Meter Reading � o�
Replacement No. �"�� �
Replacement Reading �
Replacement Make �r��- -
ERT# ���� �����
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(T63)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 property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 alsa hold the City of Fridtey and/its employees harmless for any damages that may occur
while doing this operetion. This to include,hut not limited to;valves,piprng,walls,floors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ���� ��
-d
Name: Address: ���� Y '''�-
Phone Number: Dafie: �`�y��,� •
Signature: � �
. Witness Signature:
FRIDLEY CfTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
Ad11AINISTRATION
{Ref Ord No 113,464,565,566,6�9,638,662,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipat system and any house
or building 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 il 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 until an
inspection has 6een made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection. .
4U2.06. REPAIRS AND MAIN7ENANCE 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 tead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all�epairs required to any water fine and sewer lines
necessary for connection of the premises from the main to the premises. lf the property owner requests
maintenance service or repairs be performed by the City,the property owner shatl be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualty by an administrative
policy. It shall be the resp�nsibility of the applicant,owner,occupant ar user to perform standard maintenance of
the sewer se�vice 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)