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G.N� AUTOMATIC METER READER
FRIDLEY
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Date����
Old Meter Number ^t�`"I
Old Meter Reading � �
Replacement No. ����0 ��� I
Replacement Reading �
Replacement Make ��rr��
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Replacement ERT#
Remarks:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
���ye hereby authorize the City of Fridley andJor its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liabie for the water line from the main to the premise and atl interior plumbing. (Per City code
402A6) 1 also hofd the City of Fridley andiits emplayees harmless for any damages that may occur
whi{e daing this operation. This to 9nctude,but nat limited ta;valves,piping,walls,fioars or the curb
� stap 6ax and service line. !understa�d I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter)
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Name: Address �`/� ��-"�— S�
Phone Number: Date: �"�1 � •
Signature:
. Witness Signature: , .
FRIDLEY CITY CODE
CHAPTER 4Q2.WATER,STORM WATER,AND SANITARY SEWER
ADMfNISTRATION
(Ref Ord Na 113,464,565,566,629,fi38,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior ta constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for 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 shalt 6e notified. lt shali be unlawful to cover any connecting line until an
inspection has 6een made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06. REPAIR5 AND MAINTENANCE TO CONNECTfON
After the initial connection has been made to the water service curb stop box or the sewer lead at the prnperty
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�epairs required to any water line and sewer fines
necessary for connection of the prernises frum the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shall he charged for the costs of the
ma9ntenance and/or repairs, inctuding any�ecessary 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(ine from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains abave the finished
g�ade of the land or property. iRef 638,1156, 1191)