Meter Swap '� ��1����=`�?�-iv�J
� ��`"� INSTALLATION
u.n� AUT�MATIC METER READER
FRIDLEY
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Address �:.�.�. 'C�.%�
Name 1�—l��1� �r��(
Date�-,(�.'(..-��
Oid Meter Number ,���� v�� p�, �
Qid Meter Reading ��{ �a
Repiacement No. � �.�
Repiacement Reading�
Repiacement Make�+4�t,,,-��
ERT# �� ��~I� � �
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Replacement ERT#
Remarks:
Signed:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line fram the main to the premise and all interior plumbing. (Per City code
402.06) I a(so hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but nat limited to;valves,piping.walls,flaars or the curb
� stap box and service line. I understand I am also required ta obtain a permit priur to any work,if
necessary. �
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Final meter reading(old meter)
Address: �.i � �
Name: .
Phone Number: Date:�� ` r� .
� Signature: d��
. Witness Signature: �
FRIDLEY CITY CODE
CHAPTER 40Z.WATER,STQRM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,6�9,638,662,922,988,1144,1156,1191)
402.05. 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
ser�es�Ten,and shall���T-�-^grmit fPa a� rovid d 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 conne ing in �'
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 MAINT�NANCE TO CONNECTION
After the initia(connection has been made to the water service curb stop box or the sewer lead at the property
line or a water senrice 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 repairs required to any water line and sewer(ines
necessary for connection 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 be charged for the costs of the
maintenance a�d/or repairs, including any necessary street repairs,at a raCe set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant ar 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 will ensure that it�emains above the finished
grade of the land or property. (Ref 638,1156,1191j