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Meter Swap � ���r..��� �� �� City of Fridley Water De��rhnent Address_ �� �n >l�C�llZ�=1G�. �'J Name�,Y/C �f� �r � �'�C/�r1s Date � " f b " � � Old Meter Number�O �6 � g �� ��� Old Meter Reading �� �' � �3�► J� � / Replacement No. C�d' ��� Replacement Reading (� Replacement Make���c���c;� ERT# �-�? �. S� / GI � Replacement ERT# Remarks: l 'V�� � Signed � REQUEST FOR SERVICE REPORT � � CITY OF FRIDLEY : Reference Na Date: �� j'��� � �/b�� Request Type: ��f'W��S ' Entered By: , �j �'Z�-1���A ��"�, Department. ����� -�p�r�� CitizenName: �;}��.�<� Address: � ��Q CS ti•ld�1��� �� ` Pi�ane Number: � �;� ��� �3 � \ Scheduted Date: Property Owner: Location Details: Request Details: � Action Taken: �pI��WL. ..�t-4� 17t'P-rnAr�►�a�-li ��� ��1 E i c��� LI't�I � �r.,�'ry�' �-rw s R�lt��N l� C�fUC.�di>t��,�u- �`� �,t � ���Ll � I �I� ___ .._--_ ..._ __.._._______.__--__.______._�---_..___._._______.._�. _ __..__.._...�.... __. .._-_..__...._, _ _ � �� ��. ��� j � ,� (r�'�' ��►a� _ ������►��� � �1 �(1�"i�, z �--rz�s ,� �� .�, --���� � ���� �j2i-�rc��wt� ��cyve�c� � Responsibl_e Person: �1�� � Approver: , � Completion Date. �a_�� - ��� Citizen Notified: '� , , � '