Meter Swap '� r .��,� ���.,�;--z,�Y���i a2.'
� ... INSTALLATION
G.N�. AUTOMATIC METER READER
FRlDLEY .
Address ��c �� �RN���
Name C��1� �����-'C
Date tp�� ��
Old Meter Number � c,� �
Old Meter Reading �J 1
Replacement No. �vb ���� _ _
Replacement Reading �
Replacement Make
ERT# �)�4 �C�� �� �
Replacement ERT#
Remarks:
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Add�= i/�it+l BUF�I ST 1� . �20-�3�414
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- City uf Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. i understand that the property owner
is liable for the water(ine from the main to the premise and all interior plumbing. (Per City code
40Z.06) I also hoid the City af Fridley and/its employees harmless for any damages that may occur
white doing this operation. This to include,6ut not limited tv;valves,piping,walls,floars or the curb
stvp aox and service line. i understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter�eading(old meter)
� 1�� ���
Name: Address: ��� �����
Phone Number: . Date: � `� '
Signature:
. Wltness Signature:��'�_"�_--�^�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STQRM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144,1156, 1191)
402.05. PERMlT FEE '
Prior to canstructing or repair of any water or sewer line co�necting the existing municipal system and any 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 con�ection has been
made,the Water 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 thereto has 6een approved by the Gty as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connecCion has been made to the water service curb stop box or the sewer�ead 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 shali be liable for atl�epairs 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 tse charged for the costs of the
maintenance and/or�epairs, including any necessary street repairs,at a rate set annually by an administ�ative
poficy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
the sewer service fine from the premises to the main including debris clearing ar root cutting and to maintain the
water service curb stop box for operabitity and at such height as will ensure that it remains above the flnished
grade of the land or prope�ty. (Ref 638,1156,1191)