Meter Swap � �''��"��INSTALLA ON��'��
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U.n,� AUTOMATIC METER READER
FRIDLEY
Address ���I 1.�,1��r��(�1
Name�i � ��� � �C��
Date��;���_
Old Meter Number i �
Old Meter Reading �
Replacement No. -1,�������
Replacement Reading �
Replacement Make �f��
ERT# ���JO`._��in`7 �
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridiey and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liable for the water line ftom the main to tfie premise and alt interior plumbing. (Per City code
402.Q6) I afso hold the City of Fridley and/its employees harmtess fior any damages tfiat may occur
while doing this vperation. This to inciude,but not limited to;valves,piping,walis,fioors or the curb
stop box and service line, I understand 1 am also required to obtain a permit prior to any work,if
necessary. � ���
Final meter reading(old meter) �
Name: Address:, �v�1 w���� `
PhoneNumber:. Date: ����iY,
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Signature:
Wttness Signature• ���'
FRIDLEIf CfTY CODE
CHAPTER 402.WA'fER,ST�RM WATER,AND SANITARY 5EWER
` 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 municipai 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,and shalt pay a permit fee as provided in Cfiapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shalf be notified. It shall be unlawful to cover any connecting iine until an
inspection has been made and such connection and the work 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 curb 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 shall be(iable for all repairs required to any water line and sewer lines
necessary for connection vf the premises from the main to the premises. lf the property owner requests
maintenance service or repairs be performed by the City,the property owner shatl be charged for the costs of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annua{fy 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 including debris ciearing 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)