Meter Swap '� ��-��3 `3��i�v�>--�����v
� L INSTALLATION
�.n� AUTOMATIC METER READER
FRIDLEY
Address tCJ�� � ��r���
Name_�����21 1,.�
Date q ��� —��
Old Meter Number `t `i�10
Old Meter Reading ��
Replacement No.
Replacement Reading Q�
Replacement Make ��- '
ERT# �y�� ���-1
Replacement ERT#
Remarks:
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City of Fridley
Water Department
6431 l3nirrersity Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorsze the City af Fridtey and/or its
emptoyees to do what is necessary to replace the water meter. f understand that the praperty owner
is liable for the water line from the main to the premise and aH interior pfumbing. (Per City code
402.06} 1 afso hotd the City of Fridfey and/its emptoyees harmless for any damages that may occur
whife doing this operation. This to include,but nat limited to;valves,piping,walis,floors o�the curb
' stop box and service ti�e. 1 understand!am also required to obtain a permit prior to any work,if
necessary.
Finaf ineter reading(otd meter} i
Name� Address� v✓'��� ��~�`�-9�
Phane Number: ate:, �' ��� � o` -
Signature� � �
. UVitness 5ignature:
FRiDLEY CtTY C�DE
CHAPTER 402.WATER,STQRM WATER,AND SANITARY SEWER
ADMlNISTRAT{ON
(Ref Ord No 113,464,565,566,629,638,662,92Z,988,1144,1156, 1191)
402.05. PERM{T�EE '
Prior to constructing or repalr of any water or sewer line connecting the existing municipa)system a�d any house
or building for which the application is made,the owner or contractor shali 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 connection has been
made,the Water and Sewer Department shall be notified. It shall be un�awful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
praper and suitabie connection.
402A6. REPAIRS AND MAINTENANCE 70 CONNECTION
After the initiat connection has been made to the water service curb stop box or the sewer 4ead at the property
line or a water service or sewer tead has been extended to the property line for connect9on,the applicant,owner,
or the occupant or user of such premises shal!be liable for a14 repair5 required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. tf the property owner requests
maintenance service or repairs be performed by the City,the properCy owner shat!be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaNy by an administrative
policy. !t shatl be the responsibility af the applicant,owner,occupant ar user to perform standard maintenance of
the sewer service 4ine from the premises to the main including debris clearing or root cut�ing and to maintain the
water ser�rice curb stop box for operability and at such height as wifl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191}