Meter Swap '� ` �---'�j`'I�-tt�=i377c�
� ���" INSTALLATION
G.��. AUTOMATIC METER READER
FRIDLE.I(
Address �� `,!'c1=����`�
Name���y �� �ti���1�
Date �—�`�" ��
Old Meter Number � ~ C���
Old Meter Reading r. l � ��
Replacement No. .,��? l���
Replacement Reading�
Repiacement Make ���
ERT# ���j� C����V
Replacement ERT#
Remarks:
���- Signed:
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Gity af Fridl�
t� �s �-t-��a ta�: �a�2
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Ad�: 6�I41�1M1ti ST� . 76�571-4�8
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- City of Fridiey
Water Department
b431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
empluyees ta do what is necessary to replace the water meter. I understand that the property owner
is liable far the water line from the main ta the premise and all interior plumbing. (Per City code
402.06) 1 also hofd the City of Fridiey and/its emptoyees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,wails,flonrs 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 toid meterj �
Name: Address: ,��`�� ��^'�
Phone Number: Date: `''� "'" ~'� •
Signature: �
. Witness Signature: .
FRtDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER �
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144,1156,1191)
402.05.PERMiT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipa{system and anjr house
or buildi�g for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Vltater 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#hereto has been approved by the City as a
proper and suitable connection.
4U2.06. REPAIRS AND MAINTENANCE TO CONNECTiON
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
fine or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user ofsuch premises shali 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 prope�ty awner requesCs
maintenance service or repairs be 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 annuaily by an administrative
po(icy. It shall be the respansibility of the applicant,owner,occupant or user to perform standa�d 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 bax for operabifity and at such height as wilt ensure that it remains above the finished
grade�f the land or property. (Ref 638,1156, 1191)