Meter Swap �
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G7YOF AUTOMATIC METER READER
FRIDLEY
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Name �RfJ�(�� 1�Qr��
Date I �—C 1"'��
Old Meter Number W- 1
Old Meter Reading ��, �
Replacement No. �
Replacement Reading �
Repiacement Make ���'�.��
ERT# ���. �J SI�J�v
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue PtE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Frid{ey and/or its
emplayees to do what is necessary to reptace the water meter. 1 understand that the praperty owner
is fiabie 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 empfoyees harmless for any damages that may occur
whife doing this operation. This to include,but not limited to;valves,piping,waUs,floors or the curb
stop box and ser�ice line. 1 understand I am afso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � �� 4 �
Name• Address� �� � ����
PhoneNumber� Date• ��"—� ���
Signature•
Witness Signature: .!�
FRtDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER _
, ADMINISTRATION '
(Ref Ord No 113,464,565,Sb6,629,638,662,922,988, 1144, 1156, 1191)
4Q2.05.PERMtT FEE
Prior to canstructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shal{be required ta obtain a permit for such
connection,and shaN pay a permit fee as provided i�Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be uniawful to cover any connecting line unti{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 MAlNTENANCE 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 e�ctended to the property line for connection,the applicant,awner,
or the occupant or user of such premises shal{be tiabfe for aH repairs required to any water fine and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property awner shatl be charged for the casts of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by an administrative
policy. ft shall be the responsibifity of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service{ine from the premises to the main including debris clearing ar roat 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)