Meter Swap � CJ�'�� NST LI.AT ON��
'
G.��. AUTOMATIC METER READER
FRIDLEY
Address���� ����
Name �(�E� [�p��'TiC�
Date � -,�1�
Old Meter Number �� I � 4��
OId Meter Reading �o�
Replacement No. � �� ��� 1
Replacement Reading �
Replacement Make �'����
ERT# ��`� ����
Replacement ERT#
Remarks:
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City of Frid{ey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-356fi
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water tine from the main to the premise and all interior ptumbing. �Per City ccde
402.06) 1 also hold the City of Fridley andJits empioyees harmless for any damages that may occur
while doing this aperatian. Th1s to include,but not limited tc;valves,piping,walls,floors or the curb
stop box and service line. I understand f am also required to obtain a permit prior to any work,if
necessary. f��
Final meter reading(old meter) ` � !J�
Name• Address• �� ` _` ��-���
Phone Number: Date: `�-l� r�\
Signature:
Witness Sig re: 1� �°�
FRIDLEY CITY CODE
CHAPTER 402.WA7'ER,STORM WATER,AND SANITARY SEWER
ADMINtSTRATtON
(Ref Ord No 113,464,565, 566,629,63$,662,922,988, 1144,1156,1191�
402.05. PERMiT FEE
Prior to constructing or repair of any water or sewer fine connecting the existing municipal system and any house
or building for which the application is made,the owner or contracto�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 sha{{be uniawful to cover any connecting line until an
inspection has been made and such cannection and the wark incident thereto has been approved by the City as a
proper and suitable connection. �
402.06. REPAIRS AND MAINTENANCE TO CONNECTiON �
After the initial connection has been made to the water service cu�b stop box or the sewer lead at the property
line 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 shal!be liable for aN repairs required to any water tine and sewer lines
necessary for connection of the premises from the main to the premises. ff the property owner requests
maintenance service or repairs be performed by the City,the property owner shall be eharged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. tt shall be the responsibitity of the appiicant,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)