Meter Swap ..:���.'�.:+a_�z:��z'f 4 t-`
'� �--'''�'-� � INSTALLATION
u.�� AUTOMATIC METER READER
FRIDLEY
Address fC7��� �1�'s���Z�Z�`lV
Name �P��Z.Ia vV I-��'c'Q�'-�
Date l�`'��`��
Old Meter Number b���
Old Meter Reading � �
Replacement No. � 8
Replacement Reading S�
Replacement Make ��
ERT# � ��� �1��a�� �
Replacement ERT#
Remarks:
--7(�� Signed:
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T�re� Irn�:���e:�er F�y:
_ Wa� Gi�e�: Sa�a�
J#idd�: �13�!BU�-?I ST!� �abadc PE�crie: 763-�a71-�
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley andior its
emplayees to do what is necessary to replace the water meter. I understand that the property owner
is tiabie for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) t a(so hold the City of Fridley and�its employees harmless for any damages that may occur
while daing this operation. This to include,but not limited to;valves,piping,walls�fioors or the curb
� stap box and service line. 1 understand i am aiso required to abtain a permit prioc to any work,if
necessary,
Finaf ineter reading(oid meter)_ ������
Name: Address:_
�!1 �L� �P�' ��=►CZ�rJ
CQ -- II'�c�
Phane Number: . Date: �
�
Signature:
_ Witness Signature: .
FRIDLEY CtTY CODE
CHAPTER 40Z.WATER,STORM WATER,AND SANil'ARY SEWER
ADMIINISTRA710N .
(Ref Ord No 113,464,565,565,629,b38,662,922.9$g�1144,1156, 1191)
40Z.05.PERMIT FEE
Prior ta constructing or repair of any water or sewer line connecting the existing municipaf system and any hause �
or 6uildi�g 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 psovided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It sha{I be unlawfu4 to cover any connecting line until an
inspection has 6een made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06. REPAiRS AND MAINTENANCE Tl3 CONNECTfON
ARer 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 iead has been extended to the property tine for connection,the applicant,owner,
or the nccupant or user of such premises shall Be liable for all i-epairs required to any water line and sewer{ines
necessary far cannection 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 owne�shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set at►nuatly by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
the sewer se�vice line from the premises to the main including debris clearing or 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�