Meter Swap '_ ����l �i lva-S=�`����
INSTALLATION
�.��. AUTOMATIC METER READER
�run��r
Address �,�r��� }�? �_
Name�� i tLl►9 ��k�.E=�.t��(��
Date I�- �_�
Old Meter Number "t��
01d Meter Reading c� ` '�
Replacement No. ��
Replacement Reading �
Replacement Make
�:
ERT# ���C� ����
.
Replacement ERT#
Remarks:
��� Signed:
��qtl�S�f�'Se(� R�p�f�
,
Ci#y c�f Frid�:y
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Tj�pe� �1MR� �k+�ed��
�e�: W� �z��e: �ip�
Arddr+ess: �1/AM BU�i�I ST 1!� . �7'1�40
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��: Neq��eat D�a�s� +�
�n�a�:
+�Id Me�r #� ��� r���+c?�
t�l+d r�din�: � �y�
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�e�r �eadir��. (�j
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' - City of Fridfey
� Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
empluyees to du what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main ta the premise and afl interior pfumbing. (Per City code
40Z.Ofi) 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 nat limited to;valves,piping,walls,floars or the curb
� stop box and service line. i understand!am atso required to obtain a permit prior to any work,if
necessary.
meter �� �
F�nal meter reading(oid )
Name: Address• � }`,- ��
Phone Number: Date:�� �
_ � � .
Signature:
. Witness Signature: . .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANIYARY 5EWER
� ADM{NISTRATtON
(Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144,5156, 1191)
402.05. PERMIT FEE
Prior to canstructing or repair of any water or sewer line connecting the existing municipal system and any house
or 6uilding for which the application is made,the owner or contractor shall he 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 been
made,the Water and Sewer Departrnent shall be notified. It shall be unlawful to cover any connecting line until an
inspection has 6een made and such connection and the work incident thereto has been approved by the Cty as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CUNNECTION
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 tine 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 premises f�om the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property awner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annual{y by an administrative
po(icy. It shall be the responsibility of the applicant,owner,occupant or use�to perform standard maintenance of
the sewer service line from the premises ta 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 638,1156,1191j