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� INSTALLATION
�� AUTOMATIC METER READER
F�ua.�r
Address � 1���� ���f'�'�
Name ,°�.�,�r�"�v1F� �.V:�T
Date �" l��—�,�,
01d Meter Number �d 1��
Old Meter Reading � ��
Replacement No. -7 � 1 ����
Repfacement Reading �
Replacement Make
ERT# �� I`f �� ���/ } _
Replacement ERT#
Remarks:
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City of Fridley
Water Department
5$31 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
empfoyees to do what is necessary to replace the water meter. 1 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 also hold the City of Fridley andJits employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors 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 meter reading(old meter)
� � l � ��
Name: Address: �/��� � " ' i�C.-�
Phone Number: Date� �� ` ��
Signature: � ��'�`-'z—
. Witness Signature: .
FRIDLEY CITY CODE
"'�'�' CHAPTER 402.WATER,STORM WATEtt,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMiT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or buitding for which the application is made,the owner or contractar shall be requi�ed to obtain a permit for such
connection,and shail 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 City as a
proper and suitabie connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTiON
After the initiai connection has been�made to the water service curb stop box ar the sewer lead at the property
tine or a water service or sewer lead has been e�ttended 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 be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set anoually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing or root cuttin�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 638,1156,1191)