Meter Swap � '���"�� 1 ST LLATION� ?��
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��,�� AUTOMATIC METER READER
Fr��.�r
Address � � �-� ��±�l��C���
Name l�R�t�'( l . � �L����
Date �7�-�`��
Old Meter Number 6 �
Old Meter Reading
Replacement No. ����'
Replacement Reading�
Repfacement Make ���
ERT# �� C���l
Replacement ERT#
Remarks
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+ - City of Fridley
' Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
!/we hereby autharize 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 fram the main ta the premise and all interior plumbing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur
while daing this operation. This to include,but not limited ta;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.
o d meter � � �
F�nal meter reading t ( )
Name: Address:_��
Phone Number: Date: ��� 1� �
Signature:
. Witness Sig ature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER�AND SANITARY SEWER
� ADIVIINISTRATION
(Ref Ord No 113,464r 565,566,629,638,662,922,488,1144,1156,1191)
402.05. PERMIT FEE
Prior ta constructing or repair of any water or sewer line connecting the existing municipal system and an}r house
or buildi�g for which the application is rnade,the owner or contractor sha(I be required ta 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 6een made and such connection and the work incident thereto has been approved by the Cty as a
proper and suitable connection.
4U2.06. 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 sewe�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�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property oviner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
mainte�ance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard cnaintenance of
the sewer service tine from the premises to the main including debris clearing or root cutting and to maintain the
water serviee curb stop box for operability and at such height es will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)
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