Meter Swap '� �� )�S�-rS-�i�_�>lv
� � INSTALLATION
G7YOF AUTOMATIC METER READER
FRIDLEY
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Name � �
Date �`-'��'" ��
Oid Meter Number �l y�l lC���
Old Meter Reading ��
Replacement No. 3���ld
Replacement Reading �
Replacement Make
ERT# �3�a��y
Replacement ERT#
Remarks
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City of Fridley
Water Department
6431 Uni�ersity Avenue NE
Fridley, MN 55432
(763)572-3566
t/we hereby authorize the City of Fridley and/or its
emp{oyees to do what is necessary to replace the water meter. I understand that the p�operty owner
is liable for the water fine from the main to the premise and all interior plumbing. (Per Gity code
402,06) I also ho{d the City of Fridley and/its empioyees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;vafves,piping,wafis,floors or the curb
� stop bax and service line. 1 understand 1 am aiso required to obtain�permit prior to any work,if
necessary.
Final meter reading(old meter) � � 1�,/� ��
Name: Address: G/��MJ�����
Phone Number: Date: �`�� �J l�
Signature:
Witness Sig�a ure: �_ ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STURM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,65Z,922,958, 1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and an j+house
or building for which the appficatian is made,the owner or contractor shai{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 pepartment shail 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 City as a
proper and suitable connection.
402.05. REPAIRS AND MAINTENANCE TO CONNECTI�N
After the initial con�ection has been made to the water serv+ce curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended ta the property line for connection,the applicant,owner,
or the occupant or user of such premises shali be liabfe for afi repairs required to any water line and sewer lines
necessary far cQnnection of the premises from the main to the premises. if the property owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the cnsts of the
maintenance and/ar repairs, including any necessary street repairs,at a rate set annualiy by an administratiye
pa(icy. 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 includir►g debris clearing or root cutting and to maintain the
water service curb stop box for operahility and at such height as will ensure that it remains above the fintshed
grade of the{and or property. �Ref 638,1156, 1191j