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Meter Swap � . Request Number: 16973 Public Works Division Service Request Problem Address: 7567 Central Av�e Requested By: Department: WATER Address: No acldress provi�d Problem/Issue: INSTALL AMR METER Phone Number: Scheduled Date: 2017-09-13 Schedaled'IYme: AC'IION NEEDED: Created by: Wendy Hiatt Date Created: 2017-09-13 ACTION TAKEN: Status: In Progress Subrtutter Has Been r, Contacted Date Compieted: Completed by: C3�;�s3�C t=Y^I�`(�°u .""")p�� �� � ` r �t'�13'C�!I'��;C�T��T's'�C7'!t?1� l� .�.�.�..�'.�'. v)�8�5"�lC"S�S`!,�!�#i�R+r11iL1�.'i�'�C ��� �—/' + �iI'��`�r2"�� �d��i"`� ���.�'� �lC�' /� � ���-���_���� 3� �-S��3S o -� ���� hes-e�y+a�a�or��ne Gfi�of Fridfee�ae�z���a�i�^s��r+a��c�ees��v uu�a#Ts r�e�2: r��v�ac��:e�ar�s`�.r;�erez, i unede�as�e��a�aae;sro�e��a�rnea�is lia�d�Ear�e�wa�r�r�e�o�t�e nraaara�,a s�i�ar�sa�ese arad a�d irr�e�io �d�arn�i�tge {„�2a'C�{c�e�+4�:i�6} �a�so�r�o�d�§ae Ci�a^�g of�rie�ie��nd,�i�asr�p8cnp�s�aarv�ai�ss f�a-aa�e+/daa�aag��a�rna����a�ar�aile�o� Q�era�one "1'�is�m ie��a�c4e,�aa��nat!een���v�(4sss,:pv'v��es���rali,s,fi9s�ors ar t�e�xr��s}O'ac3�ara�ser�s�lia�e. ���c�dersfiar�d(�r�t ais� �s�o�a�s�a�aes�it�a^ioa��ar����v��±c,��sec�ssar��v r''�s�9.��bi��REs�P��t�t����d rstL��� �taerse• +�dd+2ss_ / � �� �v� �� � 1�/l� . �A�a�e i�ur�e�r �9ata t ` (�j " �� Sig�attar� �l"rt�s�ss S'sgnatsxra �� ����_ 3G 3 sos�,� � � ��� l C� �� ������ a 9a8�o ��.������_ o�a m��- �d,� sk,,�� �--7 3�3 � 6SaSx ������r� lS ���_ 7l��10�� ������������ �������.;�.1;���,�'���i� �����Z�+di�D�e�,�'��'�'���'� ����4��5'T��'94�� ��������.�,�.,���,���,���,���,��,��p��s, ��.�,��,��� '-G�32.S �E�iblg'�'�� � �ricsa-��corst:u�tir�g or n_�aair+�am,�xra�z�r�f;�ues[irs�cor,nestirsg�e�sisfiirrg manac��ai�{stem and aray ho�ase�r buitding far�nrhicta� a��o�icatiors is�sade,t§�e rn�rr�ea�or cvrnaactor shaft�e�quar2d fia o�airs a permi�Fvr��ctr.�canc�ect►on,and s�aii�a gennr��e�,s prov° Chapt�a-i1 af�f±is Code, �s�:�r sur:4�coc�necci:iion has�Seer��as�e,the�Aiater and Se�v?r�?e}tae�ment shai!be nv#ifiesf. (t shatd fae ur�IaLafut an�caca�ectirsg iisae ssr,�:if 3n i�ss�e�:ion�vas t�eera rrsade 3nd sucfa���oect:oro and the,var��c incide+�t td�ereta tras�eers apgroved�y t��; �ara�es�anct�.ea�ak�de cr�r�r�ec�rar�. ��D2.�6 ���;�89TS,�,s4(f?sitTl���"�ft�sit�4'C��'O C'�iL�t�E��'3Ql4i A#'�te��#ae'snitiai conasectioa�fias�een made tv t�re water ser�ricz a�a���aax ar�e se�nret tead at the prope�lirse ar a�rater serr�ce(e� �Seera�2a�dest cr��e propes�,g li�e,`vr cortnectsorr,:fae a�a�sfa�arrt,omrner,or er,�uparrt or�.ser aF�xch precnises s�al4�e l3a�sle far ai1 repaii r�quir��t�aaay��r tine and ser,��r 4ines rtecessar�For corsnectiars of�e prerrcfses f�rn�e maisz L�1fie premises. �F the nraQert���e r^�qaeests,�adrstenanc�servic�or r�pairs E�e perFarmed�*�e C'aty,�►e ora�ertr�owner stzal[�e�a b�d Far ef+e casts af�se mairrtenance *Q�saia�s,isacfuding neses;ar�street repairs a�t a rate set a�nuaily�ars admirsispatiue policy. ix sf►a11 be Che res�ronsibiiity of s�is ap�licarxt, �+nrner,occup�rrt ar user to.pea-farrrr srandarc!rs�airrtes�a�ce af.ae seurer senrf�line ixarra the�remises�to+,�se main inciuda�debris cteari r�+�:cu�irrg and*Q rr�airr.ain ti�e+�rat�r ser+�ice curh;t:oA�vx for o�peral�id"�ty and�sueiT hei�rr as�aili ensur��hat it romains ai�aae�.t3e�r� ��de of the iand ar�rm�pes�_ l�t�538,?.�6,;3.9�j � f - `� �"�'`'`� - Sv��S� v '��' Ci'ty of Fridley water Department Address �j�j� ��L �b Name � (� � � �W Date_ �-- ���--�(� ' Old Meter Number�� �?j� Old Meter Reading � � 5 �� Replacement No. _�� 5b� �C _ Replacement Reading_� __V Replacement Make ����?f'�, , Remarks•� ,/n���___ S i g n e d--���'�,��-- '� � 1 f a''