Meter Swap '� � �v 1-'y;--�c,�YY>�.%
� � y'c't'' INSTALLATION
G7YOF AUTOMATIC METER READER
ERIDLEY
Address ��� � i'�� �Y
Name 0� �,�N�U
Date �l'���,�.
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Oid Meter Number 4�����31
Old Meter Reading � �
Reptacement Na �C� 1,���
Replacement Reading Q.�
Replacement Make �Ps�X��
ERT# ��� �'��� .1�/
Replacement ERT#
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City of Fridley
Water Department
6431 UniversityAvenue NE
� Fridley, MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,hut not(imited to;valves,piping,walls,floors or the curb
� stop box and service line. I understand I am also required to obtain a permit prior ta any work,if
necessary.
Final meter reading lold meter) �� � C ,�
Name: ` Address:
�^� t �
'a�, Phone Number. te� `����� '.
Signature:
. Witness Signature:
�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
AdMIINISTRATION
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144, 1156r 1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or buildis�g for which the appfication is made,the owner or contractor shal{be required ta abtain a pe�mitfor 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 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.
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 he liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. lf the property owner requests
maintenance service or repairs be performed by the City,the property owner shal�6e charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsi6ility of the applicant,owner,occupant or use�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 opera6ility and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)