Meter Swap '/ � , �•�-z,��i�i S`--�`t�-���%'
� ����'.-��"�tl` INSTALLATION
�.��. AUTOMATIC METER READER
FRIDLEY
Address � �1��� 11\�1��C�
Name �"��l�A �t���
Date �j._�,>� �� - -
Old Meter Number C,�C��
Old Meter Reading � <
Replacement No. �� �
Replacement Reading �
Replacement Make ���� `
ERT# � �J�� ���C�
Replacement ERT#
Remarks:
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, - City of Fridtey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��wQ hereby authorize the City of Fridley and/or its
employees to da what is necessary tp replace the water meter. 1 understand that the property owner
is liable for the water line fram the main to the premise and all intsrior plumbing. (Per City code
402.06) f also hold the City of Fridley and/its employees harmiess far any damages that may occur
whife dning this aperation. This to inctude,but nnt limit+ed to;valves,piping,walls,flaars or the curb
� stap hox and service line. I understand 1 am alsa required to obtain a permit prior to any work,if
necessary.
Final meter�eading�old meter? �� .
Name: Address: �
Pha Nu �- Date� ___,1�.�_� .
_.-----o
\
_ itness Signature: .
FRIDLEY CITY COQE
CHAPTER�402.WATER,STORM WATER,AND SANITARY 5EWER
ADf1fiINISTRATION
(Ref Ord No 113,464,565,566,629,638,652,922,988,1144,1156,1141)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer fine connecting the existi�g municipal system and any house
or buifdi�g for which the application is made,the owner or contractor sha(I be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department 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 Gty as a
proper and suitable connection.
402.06. REPAIRS AND MAIN7ENANCE 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 shall be liable for ali�epairs required to any water fine and sewer fines
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
mamtenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibifity of the applicant,owner,occupant or user to perForm standa�d maintenance of
the sewer service iine from the premises to the main incfuding debris cieasing oc root cutting and to maintain the
water service curb stop box for operability and at such height as wil{ensure that it remains above the finished
grade of the land or property. (Ref 638,1155,1191)