Meter Swap �� - "-�''-��.--�.�;�Z y�
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u.�� AUTOMATIC METER READER
FRIDL.EY
Address �1..} �,�'� �����L-�'�c
Name W�-r�(I;�K'� t�M'����
Date .���� � .
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Old Meter Number � ��� ✓
Old Meter Reading � � � ,
Replacement Na �7'����� __
Replacement Reading�
Replacement Make_��
ERT# �-,� � '"�
,
Replacement ERT#
Remarks
�� Signed;
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�- City of Fridley
Water Department
fi431 University Avenue NE
Fridley,MN 5543Z
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary ta repface the water meter. !understand that the property owner
is liable for the water line fram the main to the premise and all interior piumbing. (Per City code
402.06) 1 alsa hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This ta include,but not(imited to;valves,piping,walls,floors or the curb
stop bnx and service line. I understand I am also required ta obtain a permit prior to any work,if
necessary.
Final meter reading(o(d meter) � ` ���«� ...��
Name; Address:____r___� � �� �` Cs-� `�t� �
Phone Nu Date: � �� ��
Signature:
. Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
' ADIVIINISTRATION
(Ref Ord Na 113,464,565r 566,629,638,662,922,988,1144,1156,1191)
40Z.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anq house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connec#ion,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 cave�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 connectian.
4U2.06.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 line for connection,the applicant,owner,
or the occupant or user of such premises shatl be liable for all repairs required to any water(ine and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
mai�tenance service or repairs be perFormed hy the City,the property owner shall 6e charged for the costs of the
maintenance and/or repairs, including any necessary st�eet repairs,at a rate set annually by an administrative
policy. It shall be the responsibiiity of the applicant,owner,occupant or user to perform standard maintenance of
the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water se�vice curb stop box for operahi�ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)