Meter Swap � �1�)� INSTALLA IO�N J
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�� AUTOMATIC METER READER
FRIDLEY
Address \ �' �, `�L� Y (,E?�.
Name �"�"1�= l����t7C�
Date 1, -�'1-(�
Old Meter Number ��`�
Old Meter Reading e
Replacement No. �J'� p�
Replacement Reading �
Replacement Make P�
ERT# � l�"i
Replacement ERT#
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
emptoyees to do what is necessary to replace the water meter. t understand that the property owner
is liabte for the water fine from the main to the premise and alf interior p{umbing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,flaors or the curb
stop box and service line. t understand I am also required to obtain a permit p�ior to any wark,if
necessary.
Final meter reading(old meter)
� 1 ���
Name: Address: ��� /'�'21�U1� ���Z�.
Phone Number: Date: � ������(
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Signature:
Witness Signature: /,t��, -�'� -_
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565, 566,629,638,662,922,988, 1144, 1156,1191)
402.05.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 shalt pay a permit fee as provided i�Chapte�11 of this Code. After such connecCion has been
made,the Water and Sewer Department shall be notif+ed. It shalt be unlawful to cover any connecting line until an
inspection has been made and such connection and the wosk incident thereto has been approved by the City as a
proper and suitable connection.
402A6. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the p�operty
line or a water service or sewer lead fias been extended to the property line far connection,the applicant,owner,
or the occupant or user of such premises shall be iiabie for alt repa+rs required to any water iine 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 owne�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 sha11 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 ctearing o�root cutting and to maintain the
water service curb stop box for operability and at such height as wi{I ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)