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Meter Swap '= ,� � � ��s- �> �:ki (,�= INSTALLATION G7YOF AUTOMATIC METER READER FRIDLEY Address�l'7C)� ���� Name l�i�`� ���� Date � � (� Old Meter Number ��r�� , Old Meter Reading � ��� � Replacement No. �� �� S� Replacement Reading � Replacement Make ' ERT# � ��� � �� _ Replacement ERT# Remarks Signed: .� � �•w,�;� - R�q�t fcx�rvria� R�pc�rt • �iiy c�f F�dkk�yy � �: s�t-�2-�t �e: s�tar�aj2 T�� trrstaU A�ise�er �� � . Ylta�r �1+#a�e: ��€a� ,�d�s� � IA�� F�ae�e: �12'-�iQ-$675 s�a�: ��t��.-aow��`h�f� °�"� ��: � ���: � ���� !�ici Me�r # 8��� �b��'(`l t�l�i r�+dinJ= � �j�� a�� i ��V+�w ���er # � �1�j � �� � �lew �eaciin�. � ���T# � ���� � �� � � ?_.�..______ _�_�_ __________.__ .___.__ _______ . .____..�____ ��� � , ��__� . __....�___.----_._______ __ _..___.__ _ , �_____.____ __.___.____ .___ _ _...___.______'________ �__:! � ��� __ __-�_ _� _�- i � . City of Fridley Water Department 6431 University Avenue 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. 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 4UZ.06) 1 alsa.hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but nat fimited ta;valves,piping,wails,floors or the curb � stop box and service Ilne. i understand I am also required to obtain a permit prior to any work,if necessary. Final meter reading(otd meter� � � ���� Name: Address: 1d7�v ����` Phone Number: Date:___�sf — ��=-- � Signature:�L�,��'n��/ l . Witness Signature: �� . FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER ADMINISTRATION (Ref Ord No 123,464,565,566,629,638,662,922,988,1144,1156,1191} 402.05. PERMIT FEE Prior to constructing ar repair of any water ar sewer line connecting the existing municipal system and any house or huilding for which the application is made,the owner or contractor shail be required to obtain a permit fnr such connection,and shal)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 notifled. It shall be unlawful to cover any connecting line until an inspection has been made and such connection and the wvrk incident thereto has been approved by the City as a proper and suitable connectian. 402.06. REPAIRS AND MAINTENANCE TO CONNECTION After the initia!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(ine for connection,the appl+cant,owner, or the occupant or user of such premises shall 6e 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 5hall be charged for the costs of the maintenance and/ar repairs, including any necessary street repairs,at a rate set'annually by an administraCive policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or root cutting and to rnaintain the water service curb stop box for operabiliry and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)