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Meter Swap '� �fj-�-- J��3s_y�ta� � � INSTALLATION ��.�� AUTOMATIC METER READER FRIDLEY Address � �i �' �� Name �� v c.��'_'�.`$`�� Date l �"y"�� Old Meter Number � � � Old Meter Reading � �� 1� Replacement Na � Replacement Reading � Replacement Make ��7 , ERT# � Repiacement ERT# Remarks: �PS"1� Signed: � � � � � � � � � � � M �, �' m +� 3 � � � � � � � � � � � � � M � � � � � l 1 � � � � � � � _ � : � `� � � *� ` � �' � � � � � � . � � � � �; � � � � � � � �°°' � � � � � � � .; � �� ` a � � � � �✓ r.. -v � � � i � �: � � � � �, �, � � � I �� --.� ; � � � � � � � � ; t:. � ; 2 �- � � � ; �� ' � ; � E � , � _ � _. . � � � � � � � . � . � � � � � ;� � � � � � _ _ _ _ � � City of Fridley Water Department 6431 University Avenue NE Fridley MN 55432 (763) 572-3561 Uwe � u}-lqt��D ��.�v��U�-��reby authorize the Ciiy of Fridley and/or its employees to do what is necessary to replace the water meter. I understand that the properiy owner is liable for the water line from the mai.n to the premise and all interior plumbing. (Per City code 402.06) I also hold the City of Fridley and/or its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to;valves,piping, walls, floors or the curb stop box and service line. I understand I am also required to obtain a permit prior to any work, if necessary. � Name: l��l�� 1 vG--`�.�%��-- Address: S�� S i��=-`T/v w Phone Number:l(�3�-3 5 S-.S�`��' Date: �l ��-i�'�� Signature: � r �1 Witness Signature: � FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SAlVITARY SEWER ADMINISTRATION (Ref Ord No i 13,464,565, 566,629,638,662,922,988, 1144, 1156, 1191) 402.05. PERM[T FEE Prior to consti-ucting or repair of any water or sewer line connecring the e�sting municipal 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 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It sball be unlawful to cover any connecting}ine until an inspecrion has been made and such connecrion and the work incident thereto has been approved by the City as a proper and suitable connection. 402.06. REPAIltS AND MAINTENANCE TO CONNECTION After the initial connecrion has been made to the water service curb stop box or the sewer lead at the property line or a water service or sevver 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 all repairs required to any water line and any sewer lines necessary for connection of the premises from the main to the premises. If the property owner requests maintenance services or repairs be 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 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)