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'� �-- � INSTALLATION
�.�,oF AUTOMATIC METER READER
FRIDLEY
Address �-Jl�"L,'���,�t'� .� ��
Name �-.�Z �(�ITI�
Date F '� —��
Old Meter Number 1� �� �
Old Meter Reading
Replacement Na �� ��'����Y_
Replacement Reading �
Replacement Make � -
ERT# ���� �7
Replacement ERT#
Remarks:
„� Signed:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
I/we hereby authurize the City of Fridley and/or its
emptoyees to do what is necessary to replace the water meter. I understand that the property owner
is liab(e for the wa#er tine from the main to the premise and al!interior plumbing. lPer City code
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;vatves,piping,wails,floors or the curb
� stop box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �� �l � �x � —
Name: Address: ��� ���1�t _
Phone Numbe : Date: S��"��--
Signature:
�
. Witness Signature: ["�Y���...,
� FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SAN(TARY SEWER
ADMlNISTRATION
(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 building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connectian,and shall pay a permit fee as provided in Chapte�11 of this Cade. After such connection has been
made,the Water and Sewer Department shall be noti#ied. It shall be unlawfui to cover any connecting line untii an
inspection has been made and such connection and the wark incident thereto has been approved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MA(NTENANCE TO CONNECTION
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 connection,the applicant,owner,
or the occupant or user of such premises shail 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/ar repairs, including any necessary st�eet repairs,at a rate set annually by an administrative
policy. ft shall be the�esponsibility of the applicant,owner,occupant or user to pe�form 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 operabiiity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)