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_ �`'1 a�' INSTALLATION
unroF AUTOMATIC METER READER
FRIDLEY
Address _(!��c�� "v��f� �`-�"
Name � �C a!�� �'��U���
Date �'� ��
Old Meter Number ' J�3�
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Old Meter Reading -��� -
Replacement No. � L ��'t.�� ��
Replacement Reading �
Replacement Make ����
ERT# ���� � �
Replacement ERT#
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City of Fridley
Water Department
6431 University Avenue NE
Fridfey,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or its
empioyees to do what is necessary to replace the water meter. 1 understand that the praperty owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its empioyees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
' stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � � ` ��Q
Name� Addresr r���1,�,t�=Afa.�'1'L1��T��
Phone Number: Date: ��!`t�—
Signature: L
. Witness Signature:
FRIDLEY CITY CODE
CHAP7ER 402.WATER,STORM WATER,AND SANtTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156, 1191j
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anjr house �
or building 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 provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be noti�ed. It shall be unlawful to cover any connecting line until an
inspection has�een made and such connection and#he work incident thereto has been approved by the City 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 be liable for all repairs 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. ft shaN be the responsibility af the applicant,awr►e�,occupant or user to perForm standard maintenance of
the sewer service line from the premises to the main including debris ctearing or 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 finished
grade of the land or property. (Ref 638,1156,1191)