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Meter Swap , � Request Number: 16902 Public Works Division Service Request Problem Address: 7521 Arthur St Requested By: Department: WA'IER Addresa: No ad�ess provi�ed Problem/Issue: INSTALL AMR METER Phone Numi�er: Scheduled Date: 2017-09-QS Schednled'Rme: ACTION NEEDED: Created by: Wendy Hi�tt Date Created: 2017-09-06 ACTION TAKEN: Status: In Progress S�bmitter Has Been �., Contacted Date Completed: Completed by: �a�;�,�`�=�ri�f��^� �.��a��r+��n�x��-c ��_ `� C��f(�,�` Q J ��:��;J�a�a��r�as!,��a��s�tlf� ` �m��l��e^��h�� 1!'�� . ��-��-'��'a� ��P t�ere�y a�s�riz�k�se Gfi�oc�s�idie:�3a�r1��a�i}s arra�darp�es�a�v�v�is rneca: re��ac�;.�-ie�nr�t-�.r�e+,za�. 1�.n�ersta�a��ag�e aro�ea^,�3+�v��a�+s li��l�Eaa°�e�xratax isr�e�ra C'he r�a��a s+'�e ar2ssqise azad a�9 ir�s^1+ r�l�a�s�9�aga j��r CI�y r.r��te 3�ep6) �a�s��ro�d�.9�e Cia:^��=s�;a�4eej an+d�i�_�ap9�q.=es hae'e�tiess f�r acs+q dassaagAs#�a�t rna��+�ae�a��ait2 ciai Q�e��+, �+as?�iesc3a�c�e,iau�r�ofi lom�C��sal9ses,;�r'�r�rag vu�3�.s,fi§orsas�r t�e eaac�s3��Q�ars�t ser�sc�l'a�e. dr��a�derstaead 1 arsa a3s� t�ofa�in a�e�rsi��sr6r�a�t�arr��Eras�c.�nex�ssarp> �s►�.�t�r��qrz�{a�d�sae�er� • �iarras• ��_, ��- rE�,K.r �-t— ��a�� igs�attar� �!r'fi�tess 9igszatur� �� ` __ �L�� 32� �� _ J(D��['� �� ; A I�� F �� I � �� I� � I a ! 4935,5517 � ��.� �� - — --- -- - ��-�----; Illll llll l l lllll!II III E � 11 72423801 �Q�L�� 9�,��e��-�;��'"c�,�''1'�t$�td�1�,��St�i�7"�S��I� �,��t3��ti�� s��.�,�g��,��,��,��,��,��.��s, ��..�, �:�s�, �.��.� �� s�� ricsu�*o co�;s�,s�tirrg�r re�aafr aF any xia�ea-�f sz�res�tica�cvr,rse�rrg the�cistirsg rnunici�sat sys+t�m anri aa�y nouse or�ufii+fang�ar�nrhich� aaapiicatior�is rnade,t.�,e rnnrraea�flr�om�ctoe�shaid�e rec�aired t<�oiataira a perrs�s�fos�;�tch cassssectivn.acsd sizait�a�errttit�ee as pro�r C�aa��c i1 of�is�ade, Af�:�r��uc9a cortrsectson has�aeer��ade,fi�e�fliater and ie�rer Degsac�tmerrt�hai{f�e nrst�fied. 1t shait ite urata�arfut arr�cvrar�es�irrg tine urataF�n;r�s�aestior�has bee►�rrsade arrd s�acE�a cor�raec�ors asad�e�+�ar�h incsder�t�er2ta has iteera a��sroved�y the Cifi ,�3Y'.7�3L'S'7Rff Si6i��9��'Cflf[t3EC�34'Jft. ��s�.�� r�s aa�r��ie�a��;��c�i�s��vn� ,�ftes��iae initaai connec'rio�has been r�ade rc��se water serric��c�a sfio�a�ox or�e seenrer tead�tEre proper�line or a�rater ser+�ic�f�- �aeera�nded to�e prvpe��lirre`vr conne�tsan,�ae a�r�att�arrk,4wst2r,flr oCCu�adRt�f a58�'��tdT pt'2mis25 3t�ali ae liaf�te fvr atl+2paii r�r�ulr�d'r.�a�a,f=nrafer iine ar�r�sewver fir�es rtecessar��f4r cflnctect��rs of�e premises tr�m�e rrrairs C�ttae�r�m+ses. �f�Fte progerty�arrte r'�c#Uesfis,�nadrrt�naezce ser�rice ar r��airs�e petfarrr�ed cr�t�se Gt�,r,�e praperty oarrter shall ae.f�a ead for the costs of�;e mairr�rtan,cz rn�airs,inctudang ne�cessar�street re�airs at�+��te set a�snuaf�a+�an adrr�inis'trativ�poiicy. ��k=�►att be�e responsifsility af�iis aggiicas�t, o►�rner,or.cuparafi csr user Co pe�f.rrrr s�andar�r.tai+�stesea�e�vs�.�e seuves-servi�ca(�ee ixar,s t�ae�remises ta+�►e maFn tndudiesg dekaris cteari rc�o�cu�:tis�g a�d'ca mai�rain tt�e�nrater;e�+aice aar�a s�:a��e�x�or or�esabiiity and�suc�s hei�i as 3ar�I12nsu��at+�remains�k�aae�re�Sn grade af the�and�r�ro�pertt{_ (3Z2�f 638,�6,?..�.9�.; t° --�+ � �'� � ��-`�gg�� City of Fridley Water Det�artment Address �� V� �J Name GL� ��ef � Date . � �O . Old Meter Number v � � �� Old Meter Reading �� Replacement No. �� Replacement Reading Replacement Make �l Remarks• ��1� - Signe G _- ; •� , i F