Meter Swap �� , �. :Z-�>i.r��`�—��k��;��
� ��'��� INSTALLATION
U.N� AUTOMATIC METER READER
FRIDLEY
Address ILJ��� /��� �'C
NameS`���� 1���N
Date ��-�c��o�
Old Meter Number d
Old Meter Readin �S � ��
Replacement No. L C3 O�o�
Replacement Reading C�
Replacement Make L"�
ERT# � J�����,
Replacement ERT#
Remarks:
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City of Fridley ���g���
Water Department i I.�g����,�
6431 University Avenue NE �
Fridiey,MN 55432 1�
(763)572-3566 3��`�(
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I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the properly owner
is liabie for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 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;valves,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�
Name: Address:_ Ir"f-7�r✓ '' '�'�
Phone Number: Date• vr 1�~��
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Signature: .
. Witness Signature: .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMtNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191)
� 402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appfication 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 shail 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.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
� After the initial connection 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,
'J 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. If the property owner requests
�:, maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
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�. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrat ve
'� po�icy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
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° the sewer service line from the premises to the main including debris ctearing or root cutting and to maintain t e
� 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)
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