Meter Swap '= ��,-,�f y���-���t3�
INSTALLATION
U.n� AUTOMATIC METER READER
FRIDLEY
Address � � '_����-!�� �t��
Name ���S7TA �14�1
Date ��' ��` l�
Old Meter Number ����
Old Meter Reading � �`
Replacement No. ���o����
Replacement Reading �
Replacement Make �
ERT# �����1 �
Replacement ERT#
Remarks:
)��5� Signed:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
y/We hereby authorize the City of fridley andior its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liab{e for the water line from the main to the premise and all interior piumbing. (Per City code
402.06) I also hold the City of Frydley and/its employees harmless for any damages that may occur
while doing this operetion. This to include,but not limited to;vatves,piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � ����`-"�-�
Name• Address• 6 �� ��1�� ��2�
Phone Numb r: Date: t��` 1 _ t'
Signature•
Witness Signature: ��'�""°v��
FRIDLEY CITY CODE .
CHAPTER A02.WATER,STORM WATER,AND SANITARY SEWER
ADMtNISTRATION
(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 fhe existing municipal system and any house
or bui{ding for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,a�d shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shali be notified. It shall be un�awful to cover any connecting line until an
inspection has been made and such connection and tfie work incident thereto has been approved by the City as a
proper and suitable connection.
402.06. REPAtRS APID MAINTENANCE TO CONNECTlON
After the initial connectioc►has bee�made to the water service curb stop box or the sewer lead at the property
fine or a water service or sewer tead has been extended to the property iine for connection,the applicant,owner,
or the occupant or user of such premises shall be liabie for all repa+rs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. tf the property owner requests
maintenance service or repairs be performed by the Gity,the property owner shafl be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate 5et annually by an administrative
policy. It shall be the responsibllity of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service tine fcam 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)