Meter Swap � �`�"�"�INSTALL.AT ON ��c��
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ca.noF AUTOMATIC METER READER
FRtDLEY
Address fD 4 �� r '��'�
Name c r �����
Date �� 13� ��
Old Meter Number �l �
O1d Meter Reading ��
Replacement No. ��5� o����
Replacement Reading �
Replacement Make ���L�
ERT# ��?7C���J��
Replacement ERT#
Remarks:
�3�Signed:
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- City of Frid{ey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
IJwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is liabfe for the water line from the main to the premise and all interior plumbing. {Per City code
402.06) {also ho{d the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operation. Tfiis to include,but not limited to;vatves,piping,waffs,floors or the curb
stop 6ox and service line. I understand i am aiso required to o6tain a permit prior to any work,if
necessary.
0 � �
Finai meter reading(otd meter) � � �
Name� Address:�,LQ=1Q7�S�
e
Phone Number: Date: l)'���''��
Signature:
Witness Signature: �
�RIDLEY CITY 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)
402A5. PERMiT FEE
Prior to constructing or repair of any water or sewer line cannecting the existing municipai system and anj+house
�r building for which the application is made,the owner or contractor shail be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 ot this Code. After such connection has been
made,the 1Nater and Sewer Department shal!be notifed. It shall be unlawful to cover any connecting line untii 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 connectian has been made to the water service curb stop box or the sewer tead 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 liable for ail�epairs required to any water line and sewer lines
necessary for co�nection of the premises from the main to the premises. If the property owner requests
maintenance service ar repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance andJor repairs, including any necessary st�eet repaics,at a rate set annually by an administrative
policy. ft shall be the responsibility of the applicant,awner,occupant or user to perForm standard maintenance of
the sewer service line from the premises to the main incfuding debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wil!ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)