Meter Swap � ���� �STALLATION ,�
i
u�nroF AUTOMATIC METER READER
FRIDLEY
Address (�"l�i` ` � �--�`��'l
Name `�L - i�-�1 ��`�,`��
Date � ��— ��
Old Meter Number ���
Old Meter Reading �� �o�
Replacement No. �l
Replacement Reading �
Replacement Make
ERT# ���� O��l
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridtey,MN 55432
(763j 572-3566
Ijwe - hereby authorize the City of Fridley and/or its
employees to da what is necessary to replace the water meter. i understand that the property owner
is liable for the water fine from the main to the premise and aH interior pfumbing. (Per Gity cade
402.06) t also hold tfie City of F�idley and/its empioyees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,walls,fl�ors or the curb
� stop box and se�vice line. I understand f am aiso required tv 4btain a permit prior to any work,if
necessary.
Final meter readtng(old meter) �� � � Fl�./
Name: Address: � ✓�z� S!
Phone Number: Date: �)� l�, Q��
Signature.
Witness Signature: �
FRIDLEY 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, 1191j
402.05. PERMI7'FEE
Prior to constructing or repair of any water or sewer line canneeting the existing municipal system and anjt house
or building for which the application is made,the owne�or contractor shaif be required to abtain a permit for such
connection,and shaH pay a permit fee as provided in Chapter 11 of this Cade. After such connection has been
made,the Water and Sewer Department shait be�otified. It sha{I be unlawful to cover any connecting line until aa
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
4Q2.06. REPAIRS AN�MAINTENANCE TO CONNECTiON
After the initial connection has been made to the water service curb stop box ar the sewe�lead at the property
line or a water service ar sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shaA be liabie far ail repairs required to any water line and sewer lines
necessary for connection nf the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the praperty owner shall be charged for the costs of the
r►�aintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibitity of the applicant,awner,accupant or user to perform standard maintenance of
' the sewe�service line from the premises to the main including debris clearing ar root cutting and to maintain the
water service curb stop bax 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)