Meter Swap '� �,�-�-t -;i�f�S�`� ��l'�.%
� L INSTALLATION
U.N� AUTOMATIC METER READER
Fwn«r
Address � � l �A����
Name �� �RLT,6���
Date �"�� t�
Old Meter Number
Old Meter Reading
Replacement No. ��
Replacement Reading �
Replacement Make�Q.�,,,
ERT# �'7�����,, � '
Replacement ERT#
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Remarks:
�r�-a..� Signed:
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Ci�y of Fridl+�y
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` - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby autharize the City af Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line frum the main to the premise and all interior plumbing. (Per City code
402.06) I also hold the City af Fridley and/its empioyees harmless for any damages that may occur
while doing this operation. This to include,but not limited ta;valves,piping,walls,floors or the curb
� stap 6ox and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary. �..
eter �� ���
Final meter reading(old m }
Name: Address: � 4��� ��R�
Phone Number: . Date: ��Cz�.--- •
b
Signature: ���'�
_ Witness 5ignature: .
� FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.�5.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or buildi�g for which the application is made,the owner or contractor sha(I be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter li of this Code. After such connection has been
made,the Water and Sewer Department 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 Crty as a
proper and suitable connection.
402.06. 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
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 6e liable for all�epairs required to any water line and sewer lines
necessary for connection of the prernises from the main to the premises. If the property awner requests __
maintenan�e 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 annually by an administrative
po(icy. It shall be the responsibility of the applicant,owner,occupant or user to perform 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 operability and at such height as will ensure that it remains above the finished
g�ade of the land or properry. (Ref 638,I156,1191)