Meter Swap � �''?��INSTAL�rTlON ��
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GN� AUTOMATIC METER READER
FWDLEY
Address �(,)-G� J'37�� �T
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Name�, l� � �v'r-�l L.
Date �"��� ��+
Old Meter Number � ��
Old Meter Reading �
Replacement Na � �� ����
Replacement Reading �
Replacement Make '�)��:�
ERT# �(, ,1 �����
Replacement ERT#
Remarks:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(7fi3)572-3566
��YYe hereby authorize the City af Fridley and/or its
emptoyees to do what is necessary to rep{ace the water meter. I understand that the properry owner
is liable for the water line frorn the main ta the premise and all interior plumhing. (Per City code
4UZ.06) 1 alsn hotd the City of Fridtey and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;vaives,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.
meter `' �
Final meter reading�old )
Name� Address:____��Z_� �� -
Date: � ���,�
Phone Number. . '
Signature: �`�`4 � � "�'�'`�
. Witness Signature: �
FRIDLEY CtT(CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
� ADMIINISTRATiON
(Ref Ord No 113,464,565,5b6,6�9,638,662,922,488,1144,1156,1591)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer fine 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 shall be nati�ed. It shall be unlawful to cover any connecting tine until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the�rater service curb stop box or the sewe�lead at the property
line or a water service ar sewer lead has been extended to the property line for cannection,the applicant,owner,
or the occupanC or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary far connection of the premises from the main to the premises. If the property owner requests
maintenance ser�ice or repairs be performed by the City,the property owner shall6e charged for the costs of the
maintenance and/or repairs, including any necessary st�eet repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applican�,owner,occupant ar user to pecfarm 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 operability and at such height as will ensure that it remains above the finished
g�ade of the land or property. (Ref 638,1156,1191)