Meter Swap :�"7��.�—���'�'7 S t.-,
'� v�� , INSTALLATION
G7YOF AUTOMATIC METER READER
FRIDLEY
Address �� �� `��c��<- �
Name �_,CR� �AYZah�
Date �,=�`- ��.
Old Meter Number �'��� �
OldMeterReading ��� �''��
Replacement No. �3����� _ __
Replacement Reading QS
Replacement Make �.
ERT# ���� ����
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
ljwe hereby authorize the City of Fridley and/or its
emplayees to do what is necessary to replace the water meter. I understand that the property owner
is tiabfe for the water line firam the main to the premise and alf interior piumbing. (Per City code
402.06j I also hold the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operaCion. This to include,6ut not limited to;valves,piping,walls,floors or the curb
� stop box and service line. l understand I am also required to obtain a permit prior to any work,if
necessary.
Finai meter reading(old meter) / +� ���
Nama• Address�.^ ��� �-�
Phone Number: Date: ���y y�
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Signature:
. Witness Signature: � -
FRlDLEY CtTY C(3QE
CHAPTER 402.WA7ER,STORM WA7ER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,454,565,566,629,638,662,922,988,1144,1156,1191}
402.05. PERMIT FEE
Prior to constructing ar repair of any water or sewer line connecting the existing municipa{system and any house
or building for which the application is made,the owner or contractor shalf be required ta obtain a permit for such
connection,and shali pay a permit fee as provided in Chapte�li of this Code. ARer such cannection has been
made,the Water and Sewer Department sh�ll be noti�ed. {t sha{I 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
prnper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai 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 applicant,owner,
or the occupant or user of such premises shali be iiable for ali repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the praperty owner requests
maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuatiy by an administrative
policy. It shal4 be the respansibility 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 maintain the
, water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land ar property. (Ref 538,1156,1191)
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