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Meter Swap � � '� v'�1� INST LLA�t�� AUTOMATIC METER READER FWDLEY �� Address �C%:��1' 1 i`�`�� Name �,L,l fv ��:� �l�t'�{:1.C'� Date �� "��" � � Oid Meter Number � , �� Old Meter Reading �-�, ��1..� Repiacement No. �� Replacement Reading � Repiacement Make � - � . ERT# ��E;�� C�� t1� � Repiacement ERT# Remarks: -7.�p��- Signed: �2��e�t f�or�er�oic:�: R��r# .. �[�y�f F�id�:y► � � , t�s. �t-12 . 3 12 T�e= �ta�ht�1F�n�eCre� � 'E3y: h+lle�� I�s�: 1At�e� C�z��e: �T� � �.�1JTo1.) /�� Ii11�SSISSIPPI ST NE � . �72-0�8 i�: 3�fZ�l�1�1tF3t�AM�� . _ � : � �Ta�t: ��' �I��r# �`�� a �3� �j c�Lv� - � — � �� Id rea�iin+�: � c�l� `I �c� ('��c� wA� ��C�� I _ , ; ��z��. /�1c"t�- 1.�5�t.�-r��6 � �N+��v �I��r # �� p� ��, I � � � � � � � �.o� C��s ,��^��, ��[�+ev�r R�ading� �� t��1.�.., R �� C�� T#� `�� Cj 5� � �� w t �...� ��t.�. T�� C'�,Ty� I � �� ,��: � � �� '__� _� �_� � _ ._ .... __�__�..__ _�...�.�.__�__.��..�_�-------�_e�._.....�, � � � � � � � � � � _ __ _ ___ _ _ _____ ____ _______-_ �: �----- - ----.� � - �- ta , � : . ::,� � :� �..� _� y' . City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 i/we hereby authorize the City of Fridiey 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 from the main to the premise and all interior plumbing. (Per City code . 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur '>{ while doing this operation. This to include,but nat limited to;valves,piping,wails,floors or the curb stop box and service line. I understand 1 am also required to obtain a permit pria�to any work,if necessary. � - Final meter reading(old meter) � �� Name� Address: CJ'(/�.J /'\l�� `--- Phone Number: "� Date:��`�l�_ , :.'� Signatures ' . Witness S�gr�ature: ;�� , ,� 4; FRIDLEY CITY CODE � CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (Refi 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 shail be required to obtain a permit for such connection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shaii be notified. It shali 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 tonnection,the appiicant,owner, or the occupant or user of such premises shall be liable for ail 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 shal!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 ar 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 wili ensure that it remains above the finished grade of the land or property. (Ref 635,1156,1191) -� ;?�'':� °� ,;,•