Meter Swap '/ �a�15� tS�"�'S'�f�s��
� (NSTALLATION
U.nroF AUTOMATIC METER READER
FRIDLEY
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Address F�� ���5 , 5 t
Name .�C_�`/ ��'C��3l�1
Date ���– ��'�" ��
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Old MeterNumber � ��5�, �-1�7'"/
Old Meter Reading �� l
Replacement�No. < 1 �
Replacement Reading ._�
Replacement Make�� t.
ERT# ���J� ���'
Replacement ERT#
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� � City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
(763)572-3566
I/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 property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I aiso hoid the City of Fridley and/its employees harmless for any damages that may ouur
while doing this operation. This to include,but not(imited to;valves,piping,walls,floars or the curb
� stop hox and service line. I understand I am also required ta abtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �� �"��
Name: Address: ���� „` �� ��
Phone Number• Date: �✓� r~�� •
• Signature.
. Witness Signature: �
FRIDLEY CITY COQE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADIIAINISTRATION
(Ref Ord No 113,464,565,566,5�9,638, 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 anq house
or 6uilding for which the application is made,the owner or contractor shall be requi�ed to obtain a permitfor such
�o��fles�ien,an�shall�a�;��ermit fPP a�nrovided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Qepartment shall be notified. It shall be unlawful to cover any conne ing�n -��
inspection has 6een made and such connection and the work incident thereto has been appraved by the City as a
proper and suitable connection.
4�2.06. REPAIRS AND MAINTENANCE TO CdNNECTION
After the initial connection has been made to the water service curb stop box ar the sewer lead at the property
line or a water setvice or sewer lead has bee�extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all 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 shall 6e charged for the costs of the
maintenance and/ar repairs, including any necessary street repairs,at a rate set annualty by an administrative
policy. It shall be the responsibility of the applicant,owner,accupant 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 far operability and at such height as wifl ensure that it remains above the fini�hed
grade of the land or property. (Ref 638,1156,1191J