Meter Swap � !�`���� ,NSTALLATION �
'
��.n,� AUTOMATIC METER READER
FRIDLEY
Address 1��"�C,�s"'� ���=
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Name � -rt 1�► IN�='����
Date 1�'� � ' ��
Old Meter Number �r � "1
Old Meter Reading � � �
Replacement Na c'�A�+�� ��AS��Z-��/
Replacement Reading C�
Replacement Make
ERT# ���C� �
Replacement ERT#
Remarks
���� Signed:
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�Ci�t�f Fridl�
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�T�e: �(F��r �r.
. Water ��: �ir�
Ad�: ��164�LE�T 1� �c�c � 763-�2-8754
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- City of Fridfey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
ernployees 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 afso hold the City of Fridiey and/its employees harmless for any damages that may occur
while doing this operation. This to include,hut not limited to;valves,piping,walis,floars or the curb
� stop box and service line. i understand I am also required to abtain a permit prior to any work,if
necessary. ��
Final meter reading(old meter) � � .
Name•
Address: ���� ���
PhoneNu Date: �� ��� �
Signature.
. Witness 5ignature: .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
- ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,5156, 1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal systern and anq house
or buildi�g fo�which the application is made,the owner or contractor shall be required ta 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 shalt be unlawful to cover any connecting line until an
inspectinn has heen made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectian 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 be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property awner requests
maintenance service or repairs be performed by the City,the property awner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by an administ�ative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
the sewer se�vice line from the prernises 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 .
grade of the land or property. (Ref 638,1156,1191)