Meter Swap '� .- ) J �-a--�5�5--�4��i �i�
� � �'"�`'� INSTALLATION
G.��. AUTOMATIC METER READER
FRIDLEY
Address ��� `"' ��iT�1��
Name �����}��- ��Pa
Date �(�
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Old Meter Number < <
Old Meter Reading �
Replacement No. ��
Replacement Reading �
Replacement Make ��`��
ERT# ���� �� � "f �
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 Uni�ersity Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridtey andjor its
empluyees ta do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and ail interior plumbing. (Per City code
402.06) t also hold the City of Fridiey and/its employees harmless for any damages that may occur
white doing this operation. This to include,but nat(imited to;valves,piping,wails,floars or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
di old meter �� ���
Final meter rea ng( ►
Name: Address•t L-!,�� — � ` ��v�
PhoneNumber: D te: ~�� `-«--- �
Signature:
. Witness Signature: .
FRIDLEY CfTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADNIINISTRATIQN
(Ref Ord Na 113,464,565,566,6�9, 638,662,922,988,114471156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line cannecting the existing municipal system and anjr house
or buiiding for which the appiication is made,the owner or contractor shall 6e 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 Department shall be notified. It shaff be uniawfu{to cover any connecting line until an
inspection has been made and such connection and the wark incident thereto has been approved by the City as a
proper and suitable connection.
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 shall be liable for all repairs required to any water fine and sewer lines
necessary for cQnnection crf the premises from the main to the premises. tf the property owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repaiss,at a rate set annuatly by an administrative
policy. It shall be the responsibility of the applicant,owner,octupant ar 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 service curb stop box for ope�ability and at such height as wi{I ensure that it remains above the finished
grade ofthe land or property. (Ref 638,1156,1191)