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Replacement Reading �
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. City ofi Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(T63)572-3566
IJwe hereby authorize the City of Fridfey andior its
employees to do what is necessary to repface the water meter. t understand that the property owner
is liable for the water line from the main to the premise and all interior piumbing. (Per City code
402.OG) 1 aiso hold the Cityr of Fridtey and/its employees harmless for any damages that rr�ay occur
while doing this operation. 7his to inciude,but not limited to;vaives,piqing,walls,floors or the curb
stop box and service line. i understand I am also required to obtain a permit prior to any wark,if
necessary. � /� ���
Final meter readin old meter 6 �\
81 1
f,,� ���
Name: Address• �rvl.' ' � � ��
Phone Number: Date: ����Y�`
Signature•
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Witness Signature: �
FRiDLEY CITY CODE '
CHAPTER 402.WA7ER.S70RM WATER,AND SANITARY SEWER.
ADMINISTRATION
(Ref Ord No 113,464,565, 566,629,638,662,922,988, 1144,1156,1191)
402A5. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing 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. lt shall be unlawful to cover any connecting 4ine until an
inspection has been made and such connection and the wo�k incident thereto has been appraved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAiNTENANCE TO CONNECTION
After the initiaf connection has been made to the water service curb stop box or the sewer lead at the property
fine or a water service or sewer iead has been extended to the property line for connection,the applicant,owne�,
or the occupant or user of such premises shafl be liable for ali repairs required to any water line 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 owner shaif be charged for the costs of Che
maintenance andior repairs, including any necessary street repairs,at a rate set annualiy by an administraiive
policy. It shall be the responsibi{ity of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main inc{uding debris c{earing ar root cutting and to maintain the �,y
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191)
t