Meter Swap � t.�c�� (�;� S73IJ
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'� ��"'�7 INSTALLATION
�.noF AUTOMATIC METER READER
FRIDLEY
Address �� (�v��t,�
Name�i��(2„�-� �c�'� f��
Date ��- �,�
Old Meter Number ��
Old Meter Reading � - �
Replacement No. �
Replacement Reading �
Replacement Make ���1,�
ERT# .�)�� �A1�`�O,►�
Repiacement ERT#
Remarks:
Signed:
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- City of Fridley
Water Department
6431 Universifiy Avenue NE
Fridley, MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or its
empluyees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line fram the main to the premise and all interior plumbing. (Per City code
402.06) t also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to inctude,but not limited to;valves,piping,walls,floors or the curb
� stop box and service line. I understand I am also required to abtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �� ���"v
Address: �� � �\��51�5
Name: .
Phone Number: Date: �— �� — •
;� ,-� Signature: ��/��f
. Witness Signature: �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STQRM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMtT FEE
Prior to canstructing or repair of any water or sewer line connecting the existing municipal system and anjr house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
�o��T��e�+en,an�shalf�a;�-p��mit fPP��nrovided 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 conne ing in ��
inspection has heen made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectian.
4U2.06. REPAIRS AND MAINTENANCE TO CaNNECTION
After the initia[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(ine for connection,the applicant,owner,
or the occupant or user of such premises shall6e liable for aA repairs required to any vrater 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 6e performed by the City,the praperry owner shall be 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,occupant or user to perform standard maintenance of
the sewer service fine from the premises to the main including debri5 clearing or root cutting and to maintain the
water servlce curb 5top bvx for operabiliry and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191�