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Meter Swap �� ,. �✓_,.J .�-�-t��;��..�-S��✓' � ✓` INSTALLATION G7YOF AUTOMATIC METER READER FRIDLEY Address (� < l �`,�-' � l J Name � �('�"2�,� ��� Date �� ��"�'� � o� Old Meter Number �� `� �� Old Meter Reading �� �Q Replacement Na � ��7_ Replacement Reading � Replacement Make ����� � ERT# �J�� � �� t � Replacement ERT# Remarks: .7�.,�� Signed: R�q�t fic�r�r� R�p�r# Ciiy arf Frr�d� , � `r�: �t-�z-a�� ��: s���a�2 T,�- ��� �:: w��c � . wv� t�t�: �,� _ � �s�sr� . ��z�a7 a�: �nn����� c� ��: �u�: � ���= +�Id �I��er# ��, �� �� i � �i� �����: `�� �,� S� �+��► ����# �1���1��� l�evrr Reading. � E�T# �`�� as�q 1 �,��: � � �.--- .._____.���.�.__..� ___ � � � � �. .__._ _.__._ � ._.___ -______� ��. �� 1 � � � �� _ � �_ _ .. ^ City of Fridley � Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 ��We hereby authorize the City of Fridley and/or its employees to do what is necessary to repiace the water meter. I 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) t also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to;�alves,piping,walls,floors or the curb stop box and service line. i understand I am also required to obtain a permit prior to any work,if necessary. Final meter reading(old meter) �� �� �.J� J Name: Address: � �` ���� _ Phone Number. Date: ' `�' • r 5ignature: . Witness Signature: FRIDLEY CtTY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,624,638, 662,922,988,1144,1156,1191) 4Q2.05. PERMtT FEE Prior to constructing or repair of any water or sewer line connecting the existing municipal 5ystem and any house or building far which the application is made,the 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 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 heen 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 T�CONNECTION After the initial connection has been made to the water service curb stop hox 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 line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owne�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 repairs,at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of the sewer service line from Che premises to the main including debris clearing o�root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)