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Meter Swap '- „',�--�.;y... ��-y�..�z�`7 c��;:;3C'i' � INSTALLATION �� AUTOMATIC METER READER FRIDLEY Address � � t. �� Name �,__x-=��A�1 '�-��C��!��'� Date �"`�`�� Oid Meter Number �t � Old Meter Reading 1�3� Repiacement Na � � �.� 1 Repiacement Reading (� r- Replacement Make ��J��. ERT# �7� .'� C� Z'��_�� Replacement ERT# Remarks: � �� Si � � c � � � � � � � ' ty � i w � � � � � � � { � ., � � � , ; � � ; � � ; � � � � _ � � � € 4 . 4 j,( � � � � � I f � � � � � � ; i ' i i � i � � � � � � � � � E � f � i � � � � ! J ' � , , `� � � i ' ,� .�.� ; + � � � � , � ! � � � j ; � � ' � ' � } � �-- i � � S-- � �i c� � � � � 6�- � � �-; � � . � -- � � � � ; ' � � � � M � � { � �t � � � � � � � � � � � � � � � � � , � � � � � � � c�, �(�(/'�' � .._._� _..__�� i P � � �\ � � t�'1 � - � � .__ ,� � c�� +[�� [��y�1 3 � � Y��. � :•• : � IAIl�A�� i �� 3 w E � ; � � � � a� �— � � � � � � � r City of Fridley Water Department 6431 University Avenue NE Fridiey,MN 55432 (763)572-3566 1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) i also hold the City of Fridfey andJits empioyees harmiess for any damages that may occur white da'sn$this operation. This to include,6ut�ot limited to;valves.piping,walis,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: E '�� Phone Number• D te• ��`�'~ �� Signature: ` � . Witness Signature: FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SAN{TARY SEWER ADMtNISTRAI'I�N (Ref Ord No 113,464,565,566,624,638,662,922,988, 1144,1156,1191) 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line connecting the existing municipai system and anj+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 fiee as provided in Chapter il of this Code. After such connection has been made,the Water and Sewer Oepartment shall be notified. tt sha{l be unlawful to cover anY connecting line until an inspection has been made and such connection and the wark incident thereto has been approved by the City as a proper and suitable connection. 402.06. REPAIRS AND MAINTENANCE TO CdNNEC'fION 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 tead has been extended to the property fine for connection,the appticant,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 owner shall be charged for the costs of the ma9ntena�ce and/ar repairs, including any necessary street repairs,at a rate set annuatly 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 or root cutting and to maintain the water service curb stop box for operability and at such height as wi11 ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)