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Meter Swap ,. � ''�1 �-�'`•-C;'r�-� ?v'3 7� '� ��' � � INSTALLATION ��N� AUTOMATIC METER READER FRIDLEY Address �?�..,_( 7��(Zl.°�. �� Name �7�Q�� 1k��i,�-� Date �-�;! �� Old Meter Number � � � Old Meter Reading � _ �, Replacement No. l� Replacement Reading � Replacement Make �7�� E RT# L�� <>`"( � Replacement ERT# Remarks: � � ��.�i� Signed: � r ..� ��q�t f�►r �� R�r� City c�f Frid�:y �: �€5�-12 t ��e: �1+'#I�12 T�pe� J�� nt �: IN�dy i�atE C��: W�er �� A�dd�� +�5;1 ' �t�lE � 7�1-2�8 S�d�e= 6J�/ZA1211�t10/W P�*t�wr�er: �.�Ge�s: Eifec�t�at f�eta�s: +AiMR �___ �_ ._.__..._ ... _ . _ ��___ _....�.�__.,__. �____ _ �T�� I+d I�Ne�r# ��t7�� . I�Id r��din�: ��.�j � u,� h��rnr ��r � `'11�J�� fi�1�w �+�ding: � � ,��-�� `� �� : � � _ � � � � �� - . � � _ � � �-( `�_ _.___ __� � . � - City of Fridfey Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 ��We 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 fram the main to the premise and ail interior plumbing. (Per City code 402.06j i also hold the City af Fridley and/its employees harmiess for any damages that may occur white doing this operation. This to include,but not limited ta;valves,piping,wafls,fioors or the curb stop box and service line. I understand I am alsa required to obtain a permit prior to any work,if necessary. Final meter readin old meter) � � ` gi Name: Address: F�l'�� Phone Number: Date: Y�( 1� , � Signature: Q ` P�'`�'z�� _ Witness Signature: FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMIINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,488,1144,1156,1191) 402.05. PERMIT FEE Prior to canstructing or repair of any water or sewer line connecting the existing municipal system and anq house or buildi�g for which the application is made,the owner or contractar 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. lt shall be unlawful to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been a_pproved by the City as a proper and suitable connection. 402.06. 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 sewer 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 cannection of the premises from the main to the premises. If the property owner requests maintenance service or repairs be performed by the City,the property owner shall he charged for the costs of the maintenance and/or repairs, including any necessary street repairs,at a rate set annuatly by an administrative policy. It shall be the�esponsibility of the applicant,owner,occupant ar user to perform standard maintenance of 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 will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191�