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Meter Swap �� �_�.�� j �-�°'����`f G��7�icJ INSTALLATION v.�� AUTOMATIC METER READER FRIDLEY Address �G7 `� J ����i Name ��-��� �A���1�'t� Date ��-.��`�l - Old Meter Number �� �-1 S� Old Meter Reading � Replacement No: I ��� Replacement Reading � Replacement Make ERT# ��l�`� I �� Replacement ERT# Remarks: ��„� Signed: � � � _ _ � � �' � � � � � � � �, � � , � -� � i � � �� �-� � � E � e � � . ... ...� .__ ' � � �J � � � � � � � � � � � I ; � J � � n� � $ z � � � � � � — � � � � � �. � � _____ � � � Q� � � o -, R, /� -« � � � � � „ � � � i � � � � � �� � ' � � � � � � � � �- � � � _ � -� `� � � � � � � � � � � � � � N� � � � � ��� � � � -� � � � � � � : _ s � `N �. � � � � � � � � � � � � � � � � �, � � � � �� . � -� � � � � �____.�_m_ __. _ __ __ _ � City of�ridlzs� �i%.ate�De�art�e�t 5�31 L?�versity_Avenue 1�aL. Fndley�iL�T 5��32 (%63) �72-3��1 Uwe �C� i� / �,C� herebv -i�- ;� - .�,� � � ,, a�a��;, rh� C�r� oT r��.ley a�',Uor i'rs . em�loy�tis�o c.� �i�at y�e.r,i,SS�FY tLl I�.-�la��i.he�ater mete�_ �_und��stand thai i.�e gropz�y o�ner is 1 able ior the water line-F�o��he m�to t�e prerlis�; anc�' all i��-:z�or �lu�binD. (Pei�i� code 40%.0� I �?so rald�e Cit;j�i Fridley ancv`or its e�lave�,s �armless fcr any �amaQes t�ai�a� o�cu.�r while �oin:�t.�is opera�ion. T7iis ��in�la��;but noi limiterl to; Tialves,pigin� walls, f��rs or ti e c•�'� stop'oa� an�.s���i�e ]i�e. 1 u�derst�nd I am als� zequ;.�P� �o n'ot�;�. a i ti�it p�_o��c an;T�io-�, ir�ne�;,ssa.rV- i��ame; �u�� � V�v� .�i�p,pE'� _4��ess: �i �� ' .S � '�� �-- Pnc�ne i�umber: C�.� `�j`j �y y� �/ Date: //,�� ��. � — � �1LIlS�lI�: � �/1j1fL�SS �l�atlli'": _ _ _ . _ _ _ __ T7.� � �3 ':�, .���;r'�"�l�Lfl��, ` - r,�L1�."",i'��y�:���_3'.��.�..���J�.��r'�`���.'�r'��i�t�i�t''�J�l���i:�����:� � � ����'3�'�'�3����� .. (kei Ord i�Ta 11�,16�,�b�, �o'b, 0'2�, 030, 002, 92^,930, 111�, l l�fl, 1191) =i�D?.fl5. ��"4�✓✓�'�'F�. - �n'or to canstruc�n�or repzir oz any�n�ate:or sewer 1�e car�ecting the e„isting municipa.l system and any house or buildia�Tor whicn�he a�pl�cation is m�r1e,the o�ner or contractor sha�'be re:�uiredto oo"rain a pemit for such conne�tic�n, a�d shzll�a;�a per_nit fee as provide�i� CIlapier 11 oi-i�is Code. _h.fter�such cannzction has bven�ade,�.he StTaizr��Szwe<�epa.�--tme��a�all be no�e� it shall oe ur�lawnii�L cotrer any conne��n�iine untl aa mspecrion has oeen�ade and su�h canne�tion and the worl�in�ideni t��r�,to has been a�oproved by�e Ci�T as a nro�e,r��s�i�ble canne�-tion_ �02.fl�. ���.�i����I���Ta�''T�:��'� ��li���'��iT Afie�t11e iniii�l.c3nae�fion has been�ade t�i�i�.vatsr service c�.�b stop bo�or��e sewer iead ai iie oroper�Z line or a watzr ser�rcu�r seu�er'ead�as been s�yndea�o ihe pr�n�-ty�ne for can�eciion;�a appLcani, owner, or the occupani oz user�i suc���zmises shall be liable tor aii repa�-s requirzd to any ;vater line�nd any sew-,�lines ne�essat�Tor conneciaon Ql-�e premises son�e maan tca �he;rem:ses. Lf - the nroperiy ow�er re�uesis��n#�ance se;-vic�s or ie�,airs be periormed'oy�e �ity,�e proper��ow�er shall be char�eci ior�e costs oz�e mainte�ancti a�d/or��a�rs, �nc�vdra�an._y ne�ess�J sireet repairs,ai a rate set�ualiy by an aami�is�aiiJ��olicy. L s�ail'oe tize respo�.sibiit�r of the aDplic�r, o�vner, o��s�ani or.user to pv��rm sta�dard m�:nieuance o=ihe setiver service 1�e ziom t�e p�znises to ttie�ain�nclnding de'�.rs c14a.L-ing or r�oz c�stt,i�¢�ci to maiara�ihe wa�r ser�rie� curb st�p b��i�r o�erabilit��and at sn�� hz��i as wi1l ens�*re�at;-�_r�ai�s abn��ie�s��:i�ade o�u�e l�d or�ro�eriv. �K�i 53e, 1���, 11�?j