Meter Swap ����—�l>Ci(i r c.:,
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INSTALLATION
v.n,� AUTOMATIC METER READER
FRIDLEY
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Address__V� � —� ��1�
Name `�ati !`'c��4�Y
Date ,�--��v��
Old Meter Number ���
Old Meter Reading �
Replacement No. � c,(� l�� 1
Replacement Reading �
Repiacement Make . � .�
ERT# ���� ��`I
Replacement ERT#
Remarks:
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- City of Fridtey
Water Department
6431 Uni�ersity Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City af Fridley and/or its
emplayees to do what is necessary to replace the water meter. I understand that the properry owner
is liabte for the water line fram the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its empioyees harmless for any damages that may occur
while doing this operation. This to include,hut nat limited to;valves,piping,walls,floors or the curh
� stop box and service line. I understand t am also required to obtain a permit prio�to any work,if
necessary. � I ,
� � e-�r� ?:��, ��S
Final meter reading(old meter) ���
..�
Name: Address• ���� ��C��
Phone Nu r: Date: `t.�' ` ��� •
Signature: �
. Witness Signature: .
' FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
ADMtiNISTRATI�N
(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 ar 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
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 Departrnent shali 6e natified. It shall be unlawfut 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. REPAtRS ANO MAINTENANCE TO CONNEL710N
After the initial connection has been made to the water service curb stop box or tf�e sewer lead at the property
line or a water service or sewer lead has been extended to the property line for cannection,the applicant,owner,
or the occupant or user of such premises shal!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. lf the property awner requests
maintenance service or repairs be perFormed by the City,the property owner shall 6e charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
the sewer service line from the premises to the main including debris clearing ar root cutting and to maintain the
water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1155,1191)