Meter Swap � �' �� INSTALLATION�����ry,,
�.�� AUTOMATIC METER READER
FRIDLEY
Address �L7��� \��L ��
Name tt�"N�� w�`T'�LI1�
Date Lc�`���— ��
Old Meter Number �E?`� ���
Old Meter Reading -�
Replacement No. Sk1�k ���$S ���f _
Replacement Reading �
Replacement Make
ERT# ��� �1 ��
Replacement ERT#
Remarks:
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City of Fridiey
Water Qepartrnent
6431 University Avenue NE
Fridiey,MN 55432
(763j 572-3566
i/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 from the main to the premise and all interior plumbing. (Per City code
442.06) 1 also hold the City of Fridiey and/its employees harmless for any damages that may occur
white doing this operation. This to include,but not limited to;valves,piping,wails,floors or the curb
� stop bax and service line. !understand 1 am also required ta obtain a permit prior ta any work,if
necessary.
Final meter reading(old meter) �� �� �
Name: Address: V)�� � � �,
Phone Number: te• —` ""
Signature:
. Witness Signature:
FRIDLEY ClTY CODE
CHAPTER 402.WATER,STORM WATER�AND SANITARY SEWER
ADMINtSTRATfON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,11.56,1191)
4Q2.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application 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. Atter such cannection has been
made,the Water and Sewer Department shal!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 connection.
AQ2.06. REPAIRS AND MAINTENANCE TO CONNECTION
After ihe 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 appiicant,owner,
or the occupant or user of such prem+ses shal!be liable for all repairs required to any water line and sewer lines
necessary for connection af the premises from the main to the premises. !f the property owner requests
maintenance service or repairs be performed by the City,the property owner shali 6e charged for the costs of the
maintenance and/ar repairs, including any necessary street repairs,at a rate set annuaily by an administrative
policy. !t shall be the�esponsibility of the applicant,owner,occupant or user to perform standard maintenance of
the sewer service tine 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 wiH ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j