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Meter Swap �.�>>s y>�� -��"� �NSTALLATION u-�voF AUTOMATIC METER READER FRIDLEY Address IE)� y I �� Name ��tJ� _ _ tC,l� �-v �1 Date�—��{�-�� Old Meter Number ^ �� Old Meter Reading � L7� Replacement No. �� Repiacement Reading � Repfacement Make ERT# �� Replacement ERT# Remarks: �p�(� Signed: . ' R��f+�r�rv�e R�ep�ort City a�f Fndl�:y � �a; f{lt-12 �}at�: �13112dN�2 � Tj�e� �MR�er �k�c!89t: �it t�p�: Wa� C:�n�: 8ren��nowaki Ad�� 629i7 ST 1� . 763�7d-1a35 �d i�e� S/FI�11��lW II��Q �� _ Req��[1e�tais= � A�an Tai�err. +t�ld IUlet�er## �j� �`� h� �� Id r�ciin�_ �� 1e� �e�r # W�j��O I� `�� Id�w Et��ding: � E��-� �3�oa�� . __�____�� __�_ ____ _ _ _________ ___ _ ._ �� _� �_� ____ ._._..__ �____ __ �: € � � �__ .. __ _______ ______.______r.�_____ ��: - � � -- _ � � �I _ __ ml��_� , ' City of Fridley Water Department 6431 University Avenue NE Frid(ey,MN 55432 (7fi3)572-3566 ��Ye 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 liable for the water line frorn the main to the premise and a(I interior piumbing. (Per City code 402.06) i also hold the City af Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,hut not limited ta;valves�piping,walls,floars o�the curb stap box and service line. i understand I am also required to abtain a permit prior to any work,if necessary. Final meter reading(old meter) �. � Name: Address: �CJ�� C'F'��-f`�`� Phone Number Date: . v�t 1 Signature: . Witness Signature: . FRIQLEY CITY CODE GHAP7ER 402.WATER,STORM WATER,AND SQNITARY SEWER ADMIINISTRATION (Ref Ord No 113,464,565,566,6�9,638,662,922,988,1144,5156, 1191) 402A5. PERMl7 FEE Prior to constructing or repair of any water or sewer line co�necting the existing municipal system and anq house or buildiRg for which the application is made,the owner ur contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be natified. 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. 402.06. REPAIRS AND MAINTENANCE 70 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 been extended to the property line for 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 af the premises from the main to the premises. If the property owner requests maintenahce service or repairs be performed by the City,the property awner shall be charged for the costs of the maintenance and/ar 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 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)