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- City of Fridley
Water Department
b431 University Avenue NE
Fridley,MN 55432
(7b3)572-3566
��We hereby authorize the City af 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 line from the main ta the premise and ail interior plumbing. (Per City code
402.06) I afso hold the City af Fridley and/its employees harmfess for any+damages that may occur
while doing this operation. This to include,but not limited tu;valves,piping,walls,fioors or the curb
� stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary. �L�
oid meter ��
Final meter reading( ) �
Name:
Aidress:�_� �
Phone Num6er: Date:_ �` ��� —
Signature:
. Witness Signature: .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
� ADfVIfNiSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
402.05.RERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building fo�which the application is made,the owner or contractor shall 6e 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 shall 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�ty as a
proper and suitable connection.
402.06.REPAtRS AND MAINTENANCE TO CaNNECTtaN
After the initial connection has been made to the water service curb 5top box or the sewec 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 suth premises shall 6e liable for all�epairs required to any water fine and sewer fines
necessary far connection of the premises from the main to the premises. If the property awner requests
maintenance service or repairs be performed by the City,the property owner shall 6e charged for the costs of the
maintenance and/or repairs, inctuding any necessary street sepairs,at a rate set annually by an administrative
po(icy. It shall be the responsibility of the applicant,owner,occupant or user to pe�form standard maintenance of
the sewer se�vice line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb�top 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)
`� : .