Meter Swap G���-�-�- ����t s-'t?��i��
' INSTALLATION
�.�� AUTOMATIC METER READER
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Address�_,)�J�� t 1�tE��
Name �.3�Y` m�j�'�r
Date � � �~- ��
Old Meter Number � �
Old Meter Reading
Replacement No. ��
Replacement Reading�
Replacement Make '� !'
ERT# ����. �Q ��
ReplacementERT#
Remarks:
ll� Signed:
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City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
1/we hereby authorize the City of Fridiey 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 tine from the main to the premise and ati interior ptumbing. (Per C+ty code
402.06) t also hold the City of F�idfey andiits employees harmless for any damages that may occur
while doing this operation. This to incfude,but not limited to;valves,piping,walls,floors or the curb
� stop box and service line. I understand i arn also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter� `� ��'�`J
Name: Address c ��� � �
Phone Number. Date: � �""�� — ,
Signature•
Witness Signature: ��
fRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anj+house
or building for which the appiication is made,the owner or contrador shall be required�o obtain a permit for such
connection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shali be noti�ed. It shail 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.
402.06. REPAIRS AND MAfNTENANCE TQ CONWECTiON
After the initlal connection has been made to the water service curb stop box or the sewer fead at the property
line or a water se►vice or sewer lead has been extended.to the property line far 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 lines
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 owne�shal!be charged for the casts of the
maintenance and/or�epairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,awner,occupant or user to perform standard maintenance of
the sewer service line from tl�e premises to the main including debris c{earing or root cutting and to maintain the
water service curb stop box for operabitity and at such hei�ht as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)