Meter Swap � ��� � INS ALLATIONJ
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�.N� AUTOMATIC METER READER
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Address �'1 ',� ��'���
Name��cy �1���'��'� _
Date ���"��
Old Meter Number � � !��
Old Meter Readin � �
Replacement No. � �'S�� ��
Replacement Reading !�
Replacement Make
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Repiacement ERT#
Remarks:
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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. t understand that the property owner
is liable for the water line frum the main to the premise and all in#erior plumbing. (Per City code
402.06) 1 also hold the City of Fridley andJits employees harmless for any damages that may ouur
while doing this operation. This to include,but not limited to;valves,piping,walls,flaars or the curb
� stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final reading old meter) a�
-'� ��35 ��+� --
Name: Address:
0 y �� 'a
Phone Numbers Date: C�' 1 �
� Signature:
: Witness Signature: (` V�� '"� . �
FRIDLEY CITY CC)DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,629,638,662,922,988;1144,1156,1191)
4Q2.Q5.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal sy5tem and any house
or building for which the application is made,the owner or contractor shall 6e requi�ed to obtain a permitfor such
�o��T��s�ien,an�shall-PaT�-Pgrmit feP at nrovided in Chapter 11 of this Code. After such connectian has been
made,the Water and Sewer Department shall be notified. It shall be unlawFul to cover any conne ing�in "'
inspection has been made and such connection and the work incident thereto has been appraved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO C�NNECTION
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 cannection,the applicant,owner,
or the occupant or user of such premises shall 6e 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 6e performed by the City,the property owner shall 6e charged for the costs of the
maintenance and/or 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 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 such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191J