Meter Swap �� `3�����I7tio�J
��'� INSTALLATION
�.�oF AUTOMATIC METER READER
FRIDLEY
Address (l��1 ��4 /����
Name C it \��.� L11�� `�► ����a
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Date_� � '"��
Old Meter Number w� �� �
Old Meter Reading �� , � ��
Replacement No. ���p �O�
Replacement Reading �
Replacement Make ���.,
ERT# �c3�J nC���✓
Repiacement ERT#
Remarks:
Signed:
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- City of Fridley
Water Department
6431 Uni�ersity Avenue NE
Fridiey, MN 55432
(763)572-3566
I/we hereby authorize the City af 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 lir�e fram the main to the premise and all interior ptumbing. (Per City code
402.06) I also hold the�City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This fio include,but not limited to;va[ves,piping,watls,floars or the curb
� stop box and service line. i understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��� ���
Name: Address: �G�'� � ���-��
Phone Number: _Date: �` "~t�
Signature: � ,��
. Witness Signature:i
FRIDLEY CtTY CODE
CIiAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMtNISTRATt�N
(Ref 4rd No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
482.05.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 coniractor 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. It shali be unlawfu!to cover any connecting line until an
inspection has heen ma�je and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectian.
4U2.06.REPAIRS AND�MAtNTENANCE TO CONNECTION
After the initial connection f�as been made ta 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 shal!be liable for all repairs required to any wate�line and sewer lines
necessary for connection of the premises from the main to the premises. if the property owner requests
maintenance service or repairs be perforrrted by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by an administrative
poticy. it shali be the�Esponsibility of the applicant,owner,accupant or user to pe�Form 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 bax for operability and at such height as will ensure that it remains above the finished
grade of the land or prnperty. (Ref 638,1156,1191)