Meter Swap � ��� '� INSTALLATION��v
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�l.N� AUTOMATIC METER READER
f�n��r
Address �'�`-�t � 1
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Name �1{�Qr�'� ���K-�
Date �� 1�
Old Meter Number ��.TIE?�
Old Meter Reading �
Replacement No. � �� � � _ _
Replacement Reading �
Replacement Make
ERT# ��� c� �� �
, ReplacementERT#
Remarks
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� - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(7b3)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the praperty owner
is liabte for the water line frum the main ta the premise and all interior ptumbing. (Per City code
402.06) I a)so hold the City of Fridley and/its ernployees harmless for any damages that may occur
while doing this aperation. This to include,6ut not timited ta;valves,piping,walis,ftoors o�the curb
� stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � � �� �
Name::�: Address: � )�� ��S$` �7
Phone Number: . Date:_ J✓���� �
Signature:
. Witness Signature: � .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRAT{ON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
40Z.Q5. PERMtT FEE
Prior to constru�ting or repair of any water ar 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 permit for such
connection,and sha11 pay a permit fee as provided in Chapter 11 af this Code. After such connection has been
made,the Water and Sewer Departrnent shall be notified. It shall be unlawful to cover any connecting line until an
inspection has heen made and such connection and the work incident thereto has been approved by the Crty as a
proper and suitable connection.
4Q2.06. REPAIRS AND MAINTENANCE 70 CaNNECTION
Atter 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 sha11 be fiab{e for all�epairs required ta 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 shali be charged far 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 prope�ty. (Ref 638,1156,1191�