Meter Swap '� �`�_�,•1 ���-� .�a"`�-f��%h='>U
� �% INSTALLATION
�.N� AUTOMATIC METER READER
FRIDLEY
Address IL�� i� �.�'�`vt- �\
Name�151-� �L,t''�ttJ
Date�"��
Old Meter Number ������
Old Meter Readin � `
Replacement Na ��
Replacement Reading �
Replacement Make
ERT# �,9, ,i�_��
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
liwe hereby authorize 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 from the main ta the premise and all interior plumbing. (Per City code
402.06) f also hold the City of Fridley and/its employees harmfess for any damages that may occur
while doing this operation. This to include,6ut not limited to;valves,piping,wafls,floars or the curb
� stap hox and service line. i understand I am also required to abtain a permit prior to any work,if
necessary.
Final meter reading(old meterj � �� � �� -
Name� Address• ���.�1�.�� I�
Phone Number: Date: � v��` —
Signature•
. Witness Signature:
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STt3RM WA7ER,AND SANT7ARY SEWER
_ ADMINISTRATION
(Ref Ord No 113,464,565,SS6,629,638,662,922,988,1144,1156, 1191)
401.05. PERMIT FEE
Prior to constructing.or repair of any water or sewer line connecting the existing municipai system and any house
or 6uilding for which the appiication is made,the owner ar contractor shaA be required to obtain a permit for such
connection,and shail pay a permit fee as provided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Department shaU be natified. it shall be unlawfui to cover any connecting line untii 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.
402.06. REPAIRS AND MAfN7ENANCE TO CONNECTfON
ARer the initia!connectian 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 appiicant,owner,
or the occupant or user of such premises shall be liable for a{i�epairs required to any water line and sewer lines
necessary for connection ef the premises from the ma+n to the premises. If the property owner requests
maintenance service Br 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 rate set annuaily by an administrative
policy, tt shal4 be the respansibility Qf the applicant,owner,occupant ar user to perfarm standard maintenance af
the sewer se�vice 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 wifi ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191}