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Meter Swap � �� INSTALiLA IONy�� ' G.N� AUTOMATIC METER READER FRIDLEY ..� � Address C'� /�'� �.;��.�`��jC� Name �'��`� s.�'�� .� Date �' ��—� i� Old Meter Number ' �� y� Old Meter Reading �� Replacement No. �� i .x 1�C� Replacement Reading � Replacement Make � ERT# �� V� Replacement ERT# Remarks: � ��,�,�y Signed: . F��+q�� ft�t'�rvrit�: R " �i#y c�f Fn� � �c 6t�1-12-d�� e: 1I4IZQ�2 T�pre� Ir�a�t4�Ft�eE+er E#�+: I3e��: Wate� �iten�ee� Be��cf�adc �: 57�1#4.1�i ST#� � 7�i 1-�,217 i)ate: if12�+Z�1�8�-tICE I�N��— _ . �que�t 0e1a�s= katai/� 7 _ � 1 'NS-�C,� ��'� � c�-�m��-�k— �`�1 ��f� o c,c��,r� — C�j� W t c� , �� -�� -�3�9 a<<� �v�� 2�c�v— � �-�.�r � — �333� ��a� � �� __ _______ � ___ ____ � __�_____ __.._ . _______.__ �__ _.__�.. � _ �� !-- ----�.� �. _ �� ___��_�._.._..��_�. ��: � � � �_�____�_ _ _ ._ ____ __ �_ �--- �,�� _ ��„ ��m�� _____ __ � 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. I understand that the property owner is liabie for the water line from the main to the premise and all interior plumbing. (Per City code 402.Q6) 1 also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this operation. This to include,but not I�mited to;valves,piping,walls,floors 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• J� �1�-��'�"� - Phone Number. Da e: � 1 �` — Signature• . Witness Signa re: i "i��./ � - . 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 sewe�line connecting the existing municipai system and any house or building for which the appiication 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. After such connection has been made,the Water and Sewer Department shali be notified. It shall be unlawful to cover any connecting line until an inspection has 6een 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 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 beert extended to the property line for connedion,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 reguests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrati�e policy. It shall be the responsibility of the applicant,owne�,occupant or user to perform standard maintenance of • the sewec service line from the premises to the main including debris clearing or root cutting and to maintain the water service curh 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)