Meter Swap �� ,�.,��.�� ''�C�G`�-�'"�:�i7"��
INSTALLATION
c�.nroF AUTOMATIC METER READER
FRIDLEY
Address�j�1� �!�'I�
Name ��1�'� ���i�PN�CC�
Date i�J"��— � �
Old Meter Number �7�1
Old Meter Reading "!
Replacement No. 6�
Replacement Reading �
Replacement Make �
ERT# ���J� C��p� V
Replacement ERT#
Remarks:
--��-ye/ Signed:
��q�st f+�r�r� R+�►r�
- �ity c�t �rid�:y
f� P�: �11-�2- �e: ��$�12 `
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. Wa� �t�a�e: �Bea�d'
/�dd�� 6375 �41lE I� . �-OQ7Ei
S�ied dat+e: �1�?l�7�Pi� � ��:
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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 replate the water meter. I understand that the property owner
is liable for the water line fram the main to the premise and all interior plumbing. (Per City code
402.06i 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this aperation. This to include,but not limited to;valves,piping,wails,floors or the curb
� stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter readin old meter) � �:�
BI
Name: Address:_�Jd—�--� 'e'�'rF�`�
Phane Number: ate: �FJ� `��� •
Signature: V �
. Witness Signature:
FRIDLEY CfTY CODE
CHAPTER 402.WATER,5TQRM WATER,AND SANITARY SEWER
ADMINISTRATtQN
{Ref Ord No 113,464,565,566,629, 638,662,922,988,1144,1156r 1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line conneciing the existing municipaf system and any house
or building for which the app�ication 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 shall 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 MAINTEI�ANCE TO CONNECTION
After the initial conriection 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 repairs required to any water line and sewer lines
necessary for connection of the prernises from the main ta the premises. tf the property owner requests
maintenance service or repairs be 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 raCe set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or use�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
g�ade of the land or property. (Ref 638,1156, 1191j