Meter Swap �� `��v��"� �13��J
� C�'�" �INSTALLATION
�oF AUTOMATIC METER READER
FRIDLEY
� Address ������l���
Name ��� r-�- �'���..��
Date ���' ��
Old Meter Number � �
Old Meter Reading •
Replacement Na � l t)
Replacement Reading �
Replacement Make �J��.
E RT# s�~�,__) ���S"1��
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
(763)572-356fi
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line fram the main to the premise and ail interior piumbing. (Per City code
402.06) f also hold the City of Fridley and/its empioyees harmless for any damages that may occur
while doing this operation. This ta include,but not limited to;valves,piping,wails,floors or the curb
stop box and service line. I understand 1 am also required ta obtain a permit priar to any work,if
necessary.
Final meter reading(old meter� ��� v `�
Name: Address: ��� `��
Phane Number: Date:_ �'.�-- `—�=--
�,��,� 1�,P ,. �>n��,�`, _
Signature:
. Witness Signature: �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,ANd SANiTARY SEVtIER
ADMINISTRATlON
(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 cannecting 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
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has heen
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 suitable connection.
402.06. REPAIR�S AND MAINTENANCE TO CONNECTION '
After the initiaf 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 all repairs required to any water line and sewer lines
necessary for connection of the prernises fram the main to the premises. lf the property owner requests
maintenance service or repairs be performed by the City,the property owner shall he charged for the costs of the
maintenance a�d/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 ar user to perform standard maintenance of
the sewer service line fram the premises to the main including debris elearing or root cutting and to maintain the
water 5ervice 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)
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