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Meter Swap c��--���— j���y�r��J City of Fridley water Department Address � F �� �7� �� Name �e b �'a �Ar Date l � ^�a" �� � Old Meter Number� g� . Old Meter Reading � p � � Replacement No. ��l �j,j Q / Replacement Reading � Replacement Make ���er Remarks: ,,,.- Signed r � :� 4 � } '� (;��--Z��-- 1��r��l-t l����v � INSTALLATION v.�oF AUT4MATIC METER READER FRIDLEY Address�{ t� " �i��( Name �C.� 1��'�c�. Date �m �� ` ��7. Otd Meter Number 3�Ci Old Meter Reading �� - � Replacement No. �� �'�� ��p 4j Repiacement Reading � Replacement Make ��`:� , ERT# ���� O�d����r Replacement ERT# Remarks ��,�� Signed: � _._�_ ... _.e�� �� _�....� � `�l �'`�l '� � . �� - - ___ __�_ ______..____ �_��_�__ �_ .____�____� _ .��____ ___ _ � Y ( "� . _ ._.�...._.._...._ .. ..._.._ .u..._.._._..y . . �_.._..__ ..._... . ..__V__._. � � �.b������. �.��� �j :6u�p�� ��� � ��� ����� ��� �.��..g� :6Uip�� R'It� � � �'�.��ti�7��f �j��� PI�� =��.� �� �� ��� ��� �� U�— �rvs���«� =��s �z�� =�� �ls��� =� � � ��nn � � :� .�t�t ��t z�ozr�r� ��� �t�-z�-�t� ���� �tP�� �+��i� • , � �a���� ���b�� . � . City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 � (763)572-3566 I/we hereby authorize the C'�ty of Frid{ey andior its employees to do what is necessary to replace the water meter. 1 understand that the property owner is tiable for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but nat limited to;valves,piping,walls,floors or the curb � stop box and service line. i understand i am also repuired to obtain a permit prior to any work,if necessary. Final meter reading(old meterj ��� ���� Name• Address• �,�,�� _ ��� J7 Phone Numbe�: Date: �"'I`�-i 1[T Slgnature• . Witness Signature: �� ,�_ FR{DLEY C{TY C�DE CHAPTER A02.WA'i'ER,STORM WATER,AND SANITARY SEWER ADMfN1STRATION (Ref Ord No 113,464,565,Sb6,b29,638,662,922,988, 1144, 1156, 1191) 402.05. PERMIT FEE Prior tv constructing or repair of any water or sewer line connecting the existing municipal system and any house or buildi�g for which the application is made,the owner or contractor shail 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 shali be notified. It shail be unlawful to cover any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a proper and suitable connection. 402.06. 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,ou+rner, or the occupant or user of such premises shall be liable for all repairs reguired to any water 4ine and sewer lines necessary for connection of the premises from the main to the premises. If the property owner requests maintenance service or repairs he performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs, including any necessary street repairs,at a rate set annuatty 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 cutCing and to maintain the water service curb stop hox for operability and at such height as wilt ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) i v � � � �,�+� � N � '� C,7 � � � � e;, �-- _ _ � � � cc` � � 3 � ; . .. � � �, � � � � ` � � � � -� ' �' � � � � � � ,� � , �. : �. � � � � � C ! � � 6 _ M. : w � � i � N � � � � � � �� � � � � � � o� � , � .,- z � --� � � � � � �' � � � � � � � 7 � � � I � � � , � . � �+ � ' �.y � _ '� .� � � � � � � � � � � 3 � � � � � -� � ,� . .. � _ � � � � � . ; � � � � � � � � _ _ __ � � ���� f�c�e - �t�p�rt aG��y c�f Fri�i�r F� ta�: �-12 [}��: �''�I2Q�2 �st Tj�e� 5er�6ack-up c:ire�ek G�t r� �+�cf�� Wendy : _ � - . � JAid�= �5774 fiTH ST l� +Ca�aadc Pha�e: !612-�`a�96�i t)aY+�� _ t��a�: R��eta�s: �t�r#iaiir � __�_ .�..� . _e._._��_ � _.__. � .____�.�_ ��_. _ �. . . �. .__________._m ___.___ �_�.._.�.,.� _.�. 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