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Meter Swap � v`�� INSTALLATION��?v`� ' crnroF AUTOMATIC METER READER �w�.�r . Address �� ! `\��:�lJ Name_��uCt-fl i�l Date �y r�� 1� Old Meter Number � �� 5�too Old Meter Reading � Repiacement No. �3`�� y� Replacement Reading Qj Replacement Make ERT# 3�� n a a� Replacement ERT# Remarks: Signed: � �� ' . �� INSTALLAT ON �.n� AUTOMATIC METER READER FRIDLEY Address � �� -�� Name �--t 1.1,:�� :1-�� Date � -��-- 1� Old Meter Number ��' � � �o� Ofd Meter Reading � Replacement No. � ��l Replacement Reading � Replacement Make__�� ERT# o�� L � Repfacement ERT# Remarks: L..��Y �z�- v�� '�'(00�7 Signed: ('/�E�,�, �-- F+��q�:st f�r�rvaic� #� , � �i�yy c�f �nd� �_ �t-�2-�� c�: �r�arz�o�2 � T�� ,�� : t� . w� �t�� na�: �w��sr�E . ��-�� = �a�►��S� c� �c�: ��_ � � _ +Qld �et�r� ��7 � �j��(� �Id r�ding: ��j �°'�Q �+�w �e�r# �(3� t-)`'l�: ��e�r �eading. �S EF�# ��-7 C�9. ��) , �°�� _ ..� �_ ._. --_________.L �� , � � � 3 1 � �........._...........____.. ..._....... __"_'___............_�.......�____......._...._.. .........._______..�.._......._......_._.._..........m.. �—�� l� ��_�_�.._. _.. � __.____e.._ � � . • - City of Fridley Water Department 6431 University Avenue NE Fridiey,MN 55432 (763)572-3566 I/we hereby authorize the City of Fridley andjor its employees to do what is necessary to repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) t aiso hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb stap bax and service line. 1 understand I am also required to obtain a permit prior to any work,if necessary. Final meter reading(old meter) �� ' v Name: Address: �� '-�� Phone Number: Date• ��— �� Signature: . Witness Signature: FRIDLEY CITY CODE CHAPTER 40Z.WATER,STORM WA7ER,AND SANtTARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191} 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house or building for which the application is made,the owner or contractor shall be required to obtain a permi�for such connection,and shal)pay a permit fee as provided in Chapter il of this Code. After such connection has been made,the Water and Sewer Department shail 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 City as a proper and suitable connection. 402.06. REPAIRS AND MAINTENANCE TO 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 shall6e liable for all repairs required to any wate�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 maintenance and/or repairs, including any necessary street repairs,at a�ate 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 fram the premises to the main inciuding 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)