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Meter Swap '� �..� ; �. f`�1;�-^��t�;:r�j�= � �`�'` INSTALLATION G.N� AUTOMATIC METER READER FRIDLEY l�� , �. Address (7�( �� Name +.�1��t�p ��R,(�S 7 Date iC�" V`�'' ��. Oid Meter Number � � 'J 1 1 Old Meter Reading I�� Replacement No. ��' Replacement Reading � Replacement Make �� , ERT# �� Q�� ':� Replacement ERT# Remarks: '`7�� Signed: —�,., - � � ' F��q�t f�r�r�r�c�e i�+�rr� �i�y arf Fndl� �_ s�t�t-��- . �rte2�+a�2 T,�� r�� :: � . w� �� -�� _ s�s�sr� � z��s�� d�d Q�e: 6�i211��1f1 � � t�aer: `�bl-��fl '�A��S _ Re��: AMR #�n Tak�� +�Ici �'let+�r# ��Za � � +�id r��din�. � �� -. �. �� .t,� � � �� , 1. �; . �e�vu► �e�r# �I�jQ�O 1�� '`. �#P.�V �ead�r�g: � �� 3`1 O �� ._��_ _ ___�__��.�___. _ �.___��.�_.�__��.�_..:-----___ . € � _ _ .__..________ ---__ ________-______--_--_____._ _ _ �ke: `��' � � � ..�.. ..1�:..�..... _ ..__.� ..._� _.. --� T City of Fridley ' Water Departme�t 6431 University Aven e NE Fridley,MN 554 2 (763)572-3566 ��We hereby author ze the City of Fridley and/or its employees to do what is necessary to replace the water m ter. I understand that the property owner is liable for the water line from the main to the premise an all interior plumbing. (Per City code 402.06) 1 also.hold the City of Fridley and/its employees h rmless for any damages that may occur while doing this operation. This to include,6ut not limite to;valves,piping,walls,floors or the curb � stop box and service line. I understand 1 am also required a obtain a permit prior to any work,if necessary. � Final meter reading(old meter� � �O� Name: Address:� �� Phone Number. Date: ✓ �, Signature: . Witness Signature: FRIDLEY CITY C DE CHAPTER 402.WATER,STORM WATE ,AND SANITARY SEWER ADMIINISTRATI N (Ref Ord Na 113,464,565,566,629,638, 6 2,922,488,1144,1156,1191) 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line connec ing the existing municipal system and anq house or 6uilding for which the application is made,the owner or con actor shall 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 Department shall be notified. It sh II be unlawful to caver any connecting line until an inspection has been made and such connection and the wark in ident thereto has been approved by the City as a proper and suitable connection. 402.06. REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection has been made to the water service urb stop box or the sewer lead at the praperty line or a water service or sewer lead has been extended to the roperry line for connection,the applicant,awner, or the occupant or user of such premises shall be liable for all� pairs required to any water line and sewer lines necessary for cQnnection of the premises from the main to the remises. tf the property owner requests maintenance service or repairs 6e performed by the City,the p operty owner shall 6e charged for the costs of the maintenance and/or repairs, including any necessary street re airs,at a rate set annualty by an administrative policy. It shall be the responsibility of the applicant,owner,oc upant or user to perform standard maintenance of the sewer se�vice line from the premises to the main including ebris clearing or root cutting and to maintain the water service curb stop box for operability and at such height a will ensure that it remains above the finished grade of the land or property. (Ref 638,1156, 1191)