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G.�� AUTOMATIC METER READER
FRIDLEY
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Name C'°'1�� �������
Date F'�— �'��� \
Old Meter Number �� ��
Old Meter Reading �� �:J�J
Replacement No. 3�� �`t o��
Replacement Reading �
Replacement Make �R�
ERT# �� �)�C:� �
Replacement ERT#
Remarks
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City of Fridley
Water Department
6431 University Avenue N�
Fridiey, MN 55432
(763)572-3566
�/We hereby authorize tfie City of Fridfey andJor its
employees ta do what is necessary to reptace the water rneter. I understand that the property owner
is liable for the water line from the main to the premise and alt interior plumbing. (Per City code
402.06) 1 also hold the City of Fridiey andJits empioyees harmiess for any damages that may occur
while doing this aperation. This to include,but not limited to;valves,piping,walls�floors or the curb
stop box and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter readin (old meterj � ` � �
C
Name: Address:� '�^�' ` — ���
Phone Number: Date: ��,.,,)`"�,.�
Signature•
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER,AND SANITARY SEWER
ADMINISTRATiON
(Ref Ord Na 113,464,565,566,629,638,662,922,988, 1144,1156, 1191)
402.05. PERMIT FEE
>:
Prior to constructing or repair of any water or sewer tine connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shal{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. lt shail be unlawfui to cover any connecting line untii an
inspection has been made and such connection and the wark incident thereto has been approved by the City as a
proper and suitable connection.
d02.06. REPAIRS AND MAINTENANCE TO CONNEC7iON
After the initial connection has been made to the water service cu�b stop box or the sewer lead at the property
�ine 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 shaf{be{iable for a{I�epairs required to any water fine and sewer lines
necessary for connection of the premises from the main to the premises. If the property owaer requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance andJor repairs, including any necessary street repairs,at a rate set annual{y by an administrative
policy. it shall be the�esponsihllity of the applicant,owner,occupant or user ta perfurm standard maintenance of
the sewer service line from Che premises to the main including debris clearing or root cutting and to maintain the
water service curb stop bax 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)