Meter Swap '� �--u'�.,' �'{�- '`.��"�'1'"�-'
� INSTALLATION
G.�� AUTOMATfC METER READER
FRIDLEY
Address �GJ�� �"�`�t�� �<
Name ���� � �-.1..�l..A
Date �'-�� �e�.
Old Meter Number ���. 1p
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Old Meter Reading ��
Repiacement No, ���Q ��7�
Replacement Reading �
Replacement Make �
ERT# c�< � C� `
Replacement ERT#
Remarks:
Signed:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
(763)572-3566
I/we hereby authorize the City of Frid{ey and/or its
employees to do what is necessary to replace the water meter. f understand that the property owner
is liable for the water{ine tram the main to the premise and alt interior pfumbing. (Per City code
402.06) i aiso hold the City of Fridiey and/its employees harmless for any damages that may occur
whife doing this operation. 7his to include,hut not limi#ed tu;valves,piping,uvalis,fl�ors or the curb
stop box and service iine. 1 understand I am also required to obtain a permit prior to any work,i{
necessary.
Final meter�eading(oid meter) �� ���
Name: Address: `n�L`� ���`
Phone Number: Date: �1��� --- .
Signature: ,
.�
_ Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STQRM WATER,AND SANiTARY SEWER
ADIIAINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144�1156,1191)
402.U5, PERMIT FEE
Prior to constructing or repair of any water or sewer line conneeting the existing municipal system and any house
ar 6uilding far which the application is made,tfie owner or contractor 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 c�nnection has been
made,the Wate�and Sewer Department sha{I be nati�ed. It shall be unlawfu{to cover any connecting line until an
inspection has heen made and such connection and the wark incident 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 curb stop box or the sewer lead at the property
line ar a water service or sewer lead has been extended to the property line for connection,the appticant,owner,
or the occupant or user of such premises shalf be fiabte for alf repairs required to any water line and sewer lines
necessary for co�nection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shatl be charged for the costs of the
maintenance andJor repairs, including any necessary street repairs,at a rate set annualty by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perForm standard maintenance of
the sewer service{ine from the premises to the main incfuding debris cfearing or root cutting and to maintain the
water service curb stop hox for operabifity and at such height as wi11 ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191�