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INSTALLATION
�.n� AUTOMATIC METER READER
FRIDLEY
Address � J�� lY�'�� 57�
Name ��� �C�'�k�'1J��'�
Date �'��a `�
Old Meter Number ����(�� �C�
Old Meter Reading `"��E?"�U
Replacement No. �� ��
Replacement Reading �
Replacement Make
ERT# ���� ��0
Replacement ERT#
Remarks:
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- City of Fridtey
Water Department
6431 UniversityAvenue NE
Fridley,MN 55432
(763)572-3566
�/We hereby authorize the City of Fridley and/or 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 all interior plumbing. (Per City code
402.06y 1 also hotd the City of Fridley and/its employees harmless for any damages that may occur
white doing this operation. This ta include,but nat timited to;vafves,piping,walls,floors or the curb
stap box and service line. 1 understand 1 am also required ta obtain a permit prior to any wark,if
necessary.
Final meter r ing(old m er1 �� ��
-
Name� Address• ��� ��
Phone Number: Date: l�.V��'1 � ��
5ignature:
. Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANfTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.05.PERMIT FEE
Prior#o constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appiication 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 sha11 be unlawful to cover any connecting line until an
inspection has been 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 TO CONNECTION
After the iniClal connecCion has been made to the water service curb stop box or the sewer lead at the property
line or a water senrice or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shait be liable for aii repairs required to any water line and sewer tines
necessary far connection of the premises from the main ta the premises. If the property owner requests
maintenance service or repairs 6e 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
po(icy. It shall be the responsibility of the applicant,owner,occupant ar user to perform 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
grade of the land or property. (Ref 638,1156,1191�