Meter Swap '= U},�� ?S��'S"�'��S�L��
INSTALLATION
G.N�. AUTOMATIC METER READER
FRIDLEY
Address !'���� �
Name l /��� ��
Date �--�`—E��-�-a� ..�� -
Old Meter Number �
Old Meter Reading �'
Replacement No. "
Replacement Reading �
Replacement Make U.P���
ERT# ���Z�p���X.>�* '
Replacement ERT#
Remarks
-�3�j Signed:
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l�eques€T�e� i�t���eter 8�r�
�e�k: Wa�+�r ��me: �id E�rson
l9�dd�_ S+�tl �11l�� . 763�5��-�;$4
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City of Fridley
� Water Department
6431 University Avenue NE
Fridley, MN 55432
(763)572-356fi
��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 liable for the water line frorn the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the Cifiy of Fridley and/its employees harmless for any damages that may occur
while daing this operetion. This to include,but not limi#ed to;valves,piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior ta any work,if
necessary.
Final meter reading(old meter) 1 [ ).�_r�� ���
Address: `4��0� ���
Name� .
. � `_�
Phone Number: Date: •
.
Signature:
. Witness Signature:
FRIDLEY CITY GODE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464t 565,566,624,638,662,922,988,1144,1156,1191)
4dZA5.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anq house
or buildi�g for which the application is made,the owner or contractor shall 6e required to obtain a permit for such
connection,and shall pay a perrnit 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 connectian.
402A6.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,
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. tf the property owner requests
maintenance service or repairs be performed by the City,the property owner shall 6e charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. 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 incfuding debris c{earing or root cutting and to maintain the
water service curb stop box for operahility and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156, 1191)