Meter Swap � G��-`U� NS ALLA 10����U
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�,� AUTOMATIC METER READER
FRIDLEY
Address ��1'��) '�' rc.7���C�
Name K.���1., K-QR.•J��'S�,`
Date `��"`d�-`_�! _ �,
Old Meter Number
� ������iS �
Old Meter Reading v� v�
Replacement No. �JD �
Replacement Reading �
Replacement Make
ERT# ���a���
Replacement ERT#
Remarks:
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. ' City af Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-356fi
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary ta replace the water meter. I understand that the property owner
is liabte for the water line fram the main ta the premise and all interior plumbing. (Per City cvde
40Z.Q6) !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,wa(Is,floors or the curb
stop box and service line. I understand I am also required ta obtain a permit prior to any work,if
necessary.
Final meter reading(old meter� �
Name: Address: �✓�� � �� S�
Phane Number•
Date: ��^�—`� .
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J
♦
Signature:
__��� `� �
. Witness Signature: G"���
FRIDLEY CtTY 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.�5. PERMIT FEE �
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or 6uilding for which the application is made,the owner or contractor shall be required ta 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 1Nater and Sewer Department shall be notified. It shall be unlawful ta cover any connecting line until an
inspection has heen made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectian.
402.Ofi. 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 IPne for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary far connection of 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 shall 6e charged for the costs of the
maintenance and/or repairs, including eny necessary street re.pairs,at a raCe set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
the sewe�se�vice line from 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 ofthe land or property. (Ref 638,1156,1191}
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