Meter Swap '� t�. � �� >� L�fi��l�7Yc:�v
� �� INSTALLATION
�.�� AUTOMATIC METER READER
FRIDLEY
Address � F ��. V��1�
Name�f��'" ��SIJ�E1�t��k,(
Date to"Z���a-
Old Meter Number �O 1
Old Meter Reading ! � ��
Replacement No. ob�� �3
Replacement Reading �
Replacement Make
ERT# ��� oZ�o o��
Replacement ERT#
Remarks:
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� City of Fridley
_ Water Department
6431 University Avenue NE
Fridley,MN 55432
(763j 572-3566
!/we hereby authorize the City of Fridley and/or its
empioyees to do 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 all interior p(umbing. (Per City code
402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this aperation. This to include,6ut nat limited ta;valves.piping,walis,floors or the curb
stop box and service line. i understand I am also required to abtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �'�-�-7` � `�
Name� Address: �-!�� �� ',.���
Phone Numbe : Date: '� ` '
�
. �
Signature•
_ Witness Signature: �
� FRIDCEY CtTY CODE
CHAPTER 402.WATER,STQRM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Nc►113,464,565,566,624,638,662,922,988,1144,1156, 1191)
402A5. PERMIT FEE
Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any house
or buildir►g for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
connection,and shail pay a permit fee as pravided in Chapter 11 of this Code. After such connecti.on has been
made,the Water and Sewer Department shall be notified. It shall be un►awfui to cover any connecting line until an
inspection has been made and such connection and the work incider+t thereto has been approved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAIN7ENANCE TO CONNECTION
After the initial connection F►as been made to the water service curb stop box or the sewer lead at the property
line or a water senrice or sewer lead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shall be liabie 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 property owner requests
maintenance service or repairs be performed by the City,the property owner 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
policy. !t shal!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 inciuding 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,i156,1191)