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Meter Swap � �'-�"�� I S ALLATION �� ' crnroF AUTOMATIC METER READER FRIDLEY Address �� -�1��`�'� � Name�,�Ar�1.� �o�' Z.11�.�s Date 5"a�� la Old Meter Number_ ��c� 1��_ Old Meter Reading � S� 'rJ Replacement Na ��A ��.� Replacement Reading � Replacement Make � ERT# ��j5 Replacement ERT# Remarks: �,�� Signed: ��q�est f+�r� - F��:p�r� , �-. City�# ��idley � �. ��-�2-�� : ��s��2 Tj�e� Ir�aH'J�IR�et� �9+_ c�t: W� � P Add�: 3'13�EfT[l�R t� ��e: 763-fi�8;5�48 _ � 12!7�00 A�i-�� t3w��: _ � : � Ait�7a�: �!d �+le�r # ��(� ��. ,`�, y� t�lc� r+�a�din�: � �� V�w �ll��r# ��(p ��3� �I�w R�adin�: �'j , ��# �� ; � � � �. ; �� ! ; � , � ' i _ �� _ , � � .��a�-��..a_. ... � � ti � City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 I/we hereby authorize the City of Fridley and/or its empioyees 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 402.06) i also hoid the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited tu;valves,piping,wails,floors or the curb � stop box and service 11ne. I understand I am also required to obtain a permit prior to any work,if necessary. Final meter reading(old mete�) ' �� '" � Name: Address: � �� u� �� Phone Number Date: ��—`� Signature: . Wltness Si na FRIDLEY CITY CODE , CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988, 2144,1156, 1191) 402.05. PERMIT FEE • Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anq house or building for which the apptication 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 uniawful to cover any connecting line untii an inspection has been maeFe and such connection and the wark incident thereto has been approved by the City as a proper and suitable connection. 402.06. REPAIRS AND MAINTENANCE TO CdNNECTION 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 tine for connection,the applicant,owner, or the occupant or user of such premises shail be liable for all repairs required to any water line and sewer lines necessary for connectian of the premises fram 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 maintenance and/ar repairs, including any necessary street repairs,at a rate set annually by an administrative policy. It shall be the responsibility of the appticant,owner,occupant or user to perform standard maintenance of the sewer ser�ice 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)