Meter Swap '� ;.;,�.`��'_ �'�`'`�`�'�_-��c"?��G.
� �` INSTALLATION
v.n� AUTOMATIC METER READER
FRIDLEY
Address (L��G,���'��
Name \C�(a'CZ� ����
Date l�—����
Old Meter Number � � ���
Old Meter Reading
Replacement No. �
Replacement Reading �
Replacement Make��`�
ERT# �?J�_Z C���� �/
Replacement ERT#
Remarks:
����Signed:
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. Wat�r �N�cae: �SW�
Addr�= � ST� . �4-7400
1
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+C�I�d Met�r# � �( � � �
�I+d r�a��din�: '��� -
N+��ru ���;r# ���� ����
[���ur �eading: �
E�T# ���� ����p
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• - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��WQ hereby autharize the City of Fridley andJot its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line fram the main ta the premise and all interior ptumbing. (Per City code
40Z.06) i also hoid the City of Fridley and/its empioyees harmless for any damages that may o�cur
while doing this operation. This to include,6ut not limited to;valves,piping,walls,floors o�the curb
� stap box and service line. I understand 1 am also required to obtain a pecmit prior to any work,if
necessary.
Final meter reading(old meter)
Name•��� �11�91.1��_Address: �c1�--' `l�^'�' --
Phane Number:
Date: ���✓1
Signature: �
. Witness Signature:
FRIDLEY Ct7Y CODE
CHAPT�R 402.WATER,STORM WATER,AND SANiTARY SEWER
� ADMINISTRATION
(Ref Ord Na 113,464,565,566,629,fi38,662,922,488,1144,1156,1191)
402A5. PERMl7 FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or 6uilding for which the application is made,the owner or contractor shall be requi�ed 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 natified. It shaU 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 City as a
praper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made ta the water serviteturb stop box otthe 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 shali be liabfe for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. tf the property owner requests
maintenance service or repairs 6e performed by the City,the property awner shall be 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 rr►aintenance of
the sewer se�vice 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
g�ade of the land or property. (Ref 638,1156,1191)