Meter Swap � ���Ji '� IN$AL'LATION S�
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G7YOF AUTOMATIC METER READER
FRIDLEY
Address 1�1J�� � ����
Name �t l� ���i�'��
Date �-�� � ��
Old Meter Number � ��� �
Old Meter Reading �
Replacement No. �� �� � e�.
Replacement Reading 5v
Replacement Make ���'��-
ERT# c�� c� � ���
Replacement ERT#
Remarks:
�..��1 Signed: _
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�ii�yy of Fndl�r
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t�r�er�t� 1fIF�x C.�h"z�n�: ,�C�
Ad�� 6�'71 �T!� . 763�1-�13
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t.�caa�a�Qe�� Req� D�: A�
Tai��
+�I�i �te�r # ���{ `� 1��
�Id r�cling: ��` ��
�1+��r �+l�ter# ��`�D �1 ��,
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T .
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
���ye hereby autharize the City of Fridley and/or its
emptoyees 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
4U2.06) i also hold the City of Fridley and/its employees harmless for any damages that may occur
white doing this operation. This to include,6ut nat limited to;valves,piping,walis,floars or the curb
� stop box and service tine. !understand!am also required ta obtain a permit prior to any work,if
necessary.
Final meter reading iold meter) ��� ���
Name: Address:��_ �
Phone Number: Date• ~ �� 1 �
Signature:
. Witness Si ure: � . .
FRIDLEY CITY CODE
CHAPTER 4Q2.WATER,STORM WATER,AND SANITARY SEWER
� ADMlNlSTRATIDN
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144,1156, 1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line conneding the existing municipal system and any house
or buitdi�g for which the application 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 shall be notified. It shall 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 Cty as a
proper and suitable connection.
4U2.06. REPAIRS AND MAINTENANCETO CONNECTION -
After the ini#ial 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 iead has been extended to the property line for connection,the app�icant,owner,
or the occupant or user of such premises shall be liabie 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 prope�ty owner requests
mainienance 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�ecessary street repairs,at a rate set annually by an administrative
po(icy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance af
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 remains above the finished
grade of the land or property. (Ref 638,1156,1191)
. '"-��`-