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Meter Swap '�r ���-���-��-y��-�--� � `� -�-��`� INSTALLATION G.n,� AUTOMATIC METER READER FRIDLEY Address��'?C.` ����� �� Name � ��� �C= !' ��c Date_� � • -s"�'�=- Old Meter Number � ` �>��� M Old Meter Reading r`�' � � �� Replacement No. �(X� C(�'+4' Replacement Reading (f� Replacement Make t� ''� ERT# ������ Replacement ERT# Remarks: ��7g Signed: � , ���t f�r '�emce R�p� �i�y c�f Frici� � �: ��-��- 2 ��: sr�r��2 T�� �� � �: w� �: w� � i�aa�: �sa�tssrss��sT� ��: ��z-�o-��e �: �r����:.�o� �� . �: _ �,�ar t�= � ���: �►Id l�I��r�# � ����P��� t�lc� r�di���g: ����,� 3 N��nr ���r# �I?����i�� �tl�e� �eading: � � E�T� �����J� �___ _ _� _� _ __ _ _ _ _ ___ ______ . _____-___ _�_..__._._ -- ���r � �_ ��. � _...�. .__--_-__ .__—_-- _ � � 4 t_ ..._W___m__...._._._____m__ .._. _...._.�. ______....._ _......_.._...__�__.�. ��} � /� � �1 1�\/�\/�\ . �........��..___....�... �_�,�...._....�1C"_.,,`",__"'._............_........._.... . . f City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 ��We hereby authorize the City of Fridley and/or its employees ta do what is necessary ta replace the water meter. 1 understand that the properly owner is liable for"the water line fram the main to the premise and all interior plumbing. (Per City code 442.06} i also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing this operation. This ta include,but not limited to;valves,piping,wails,flaors or the curb � stop box and service line. I understand l am also required ta obtain a permit prior to any work,if necessary. ' Final meter reading(old meter) ,�� ' � �� �'64� N���-.s-r Name: Address_ �_ Phone Number: Date: ����—�� � Signature: r . Witness Signature: _ FRIDLEY CtTY CODE CHAPTER 40Z.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,6�9,638,662,922,988,5144, 1156r 1191) 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anjl house or 6uildi�g for which the application is made,the owner or contractor shall 6e requi�ed to obtain a permit for such wnnection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer�epartment shall 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. 4�2.06. REPAIRS AND MAIN7ENANCE TO CONNECTION After the initlal connectian 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 Ilne for connection,the applicant,owner, or the occupant or user of such premises shatl be liable for all�epairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. lf 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 andJor repairs, including any necessary st�eet 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 su�h height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191y