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Meter Swap '� �;v l�-Y�3t3� � U�--�1`� INSTALLATION �� AUTOMATIC METER READER FRIDLEY , Address � �� � �`�.. ��. Name l�-�c�l� �L..l�l U A�3 Date t �"��`"�\ Old Meter Number � ��� Old Meter Reading l � —I Replacement No. C ��� Replacement Reading SU Replacement Make ERT# � Replacement ERT# Remarks: �� Signed: _ .. _. .�1=��--��_ __ , _ ______ _______ _� � __. .. �___�.� =��� ___._�_____________�____�___ _.__�_ _�_ _.�_____ _____ _ __�_ _ � ___._______ _ ._� ___ � � � t����� --� � � � -���c�._�, �-�v ��4�'b���, - ����,�✓c�N � � __ C��� Q�, l � — �� ��� �'° � �,�C�C►�b - #��� c�� � � �������� . � �� =�� :�� �� �� ���� -�� 9�i*-tt�-€9L =�d� 3i��!t17� t�.9 =�PPV �� =�l� �M ��� :,�8�� ���1���1 ��l �f 1.1:[i�,"'Zl!'�1 :�� ��V-11-1� ���� ��� �'�nl,� �l�d��j �Nl�la� -t�'� �'��1t�+� .. . 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 employees to do what is necessary to repface the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior plumbing. �Per City code 402.06) I also hold the City of Eridley and/its employees harmless for any damages that may occur while doing this operation. 7his to include,but not limited to;vaives,piping,walls,floors or the curb stop box and service tine. i understand I am also required to obtain a permit prior to any work,if necessary. Final meter reading(old meter) I � �� ���� Name� Address• IL�J(l� t � ���`�L` 1 �`� Phone Nurnber: D te: 'O�`���\ � Signature• _ Witness Sig�ature: [� ''ll��'� `-"° FRIDLEY CiTY CODE CHAPTER 402.WATER,STORM WATER,AND 5ANITARY SEWER ADMINISTRA710N (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 buiiding 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. It shai!be unlawful to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a proper and suitabie connection. 402.06. REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection has been made to the wate�service curb stop box or the sewer lead at the property line or a water service or sewer lead has been extended to the property tine for connection,the applicant,owner, or the occupant or user of such premises shaf{be liabte for all repairs required to any vuater line 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 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 shall 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 inciuding debris ciearing or root cutting and to maintain the water service curb stop box for ope�ability and at such height as wi(I ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)