Meter Swap '� �Z�iSS �'1l v a-�'-�r' 8-�9g�'
� �/`' INSTALLATION
uNOF AUTOMATIC METER READER
FRIDLEY
Address ' ��1 �L�� ���1
Name �Z(� �'t4�1."�T't'f
Date �--���' 1�
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Old Meter Reading
Replacement No. � ���
Replacement Reading (�
Replacement Make�PC��
ERT# �� d►�C'Z� ✓
Replacement 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
emp{uyees ta do what is necessary to repface the water meter. l understand that the property owner
is liabie for the water line from the main to the premise and all interior plumbing. (Per City code
40Z.06) i also hofd the City of frid{ey and/its employees harmtess 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 f am a{sa required to obtain a permit prior to any work,if
necessary.
Final meter reading(ald meter)
Name: Address: �.,��� ����'y
Phone Number: Dat • �r �`��
Signature:
. Witness 5ignature:__-__��l�' "`^
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADIIAINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
4U2.05. PERMiT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
cannection,and shall pay a permit fee as provided in Chapter il of this Code. AfGer such connection has been
made,the Water and 5ewer Department shatl be notified. ft shall be unlawful to cover any connecting tine untii a�
inspection has been made and su�h connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.05. REPAIRS AND MAtNTENANCE TO CONNECTION
Aiter the initiai connection has been made to the uvater 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 appiicant,owner,
or the occupant or user ofsuch premises shall be liable for all�epairs 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 shali be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
the 5ewer se�vice line from the premises to the main including debris clearing ar 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 638,1156,1191�