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Meter Swap . Request Number: 16932 � Public Works Division Service Request Problem Address: 298 Ely St Requested By: 011ie Dep�rtment: WA'IER Address: No address provided ProblemlIsaue: INSTALL t1MR METER Phone Nwmber: 612-275-1224 Scheduled Date: 2017-09-11 � ScUeduled 1ime: 10:00:tf0 I ' G�- +'r ACTION NEEDED: Created by: Wendy Hiatt Date Created: 201�-09-08 ACIION TAKEN: �a-!�-�.�c�...___-�-�..�---_.�.-____ Status: In Progress Sabmitter Hss Been r, Co�acted Date Completed: � _ � I' � � Completed by:�A �� .� a:,. �;, °:;��, ,.1,� _ 'r���-c•;��r Q�:����e�n-c �����,J�a����r�a�'!�:�sr�:r9a��s�t� ff' �t'3�I�rt:°�, e���h�� 5��'3� �(/�i �l' / ��� �l/ � �'��-�?3-���� � ' ;���rm � � � 4e���ac.�f^sc�ri�w!�,e G-��os�diee�ar�z�j�r ifis�rr+�af�cP,Qes�a ' �uk;afi ts r�e � ,p�aia����nr�-w.r�er2T, 1 ua�r�#e�at�t��a��;,he�c'a�e�,�3,ar�t�rr is iia�3e;'r�r r�re�w��c iisse frara�e rs�aera�a�s�m�s���d 3�1 irrt: ,pda�sr�v'�g, {i����'��a1e��fl6} ?�dsv�raic��+re Ga;•�r of rr;s,#iee�a�sr��i��rn�a8asr�s�tarrni�f�a�aa�?f�aaa�ag��sa�rs�a��ccur�ar�ii2 ���r�+��> T;�is'�o iesde�4e, �ae;��cat!�en��ta��raf4�Qs>ee�rar����u�d3s,�9s�r�as ar t1�e�����ar�c�ser-ss�lieae. tn 3s�c#e�~a�sr�i�a '�'J' ^�1�'�393i 3,�'4,E3'PT3�$!98"ILid'1`II$S3T�''#flY'�S.'1'�Re�558Y°�a �������g�����a�,��; � � 13 I � t� �a��:_�1 I��. � 2 9 � �t..Y 5-�, ��a�e����� c� �2 -- a��� l2�.W q�— � 1 — t� �� _ x��+iwc� �J�ess�s `--�• gstaiur2 �� ����� 3 c� oc� ��� 7 �� ������ a� �� �� e� ���������� $qO �1 tvr�3 �������� v ��-�� `� � � I q 3 3 3 �5����'i���� �9�;c���.����"E�q�'����;A��B�a��►5�r�-�°�s���� a��������� ����i���3 ����.�C�.a���3��3.� �B�q �����y��s�'�a�J' �.�=�o��y��� ��i..r9 ���i{��#='�� � �r6ae�tfl c�rrs��irrg 3r re�aair�acsy�ra�t�r�f s�orer li�e conrsex�iezg;he�cisticsg c+�us�;c��eat�+�st�m arnd atnJ rtouse�r fsui?cfin�r'vr��+vhicf a�ag�[tc�ivr is rnade,t�e a+,rrr�ea�ar cor�tract.�r sfcaid�e�uare�to o�irs a.permi�Far;ucf�carrs�ecticm,xc�d�atd aay a p�ranit ree�s�m �aaga�er 11 of r,�is Cade, �f�:er�c�a ccrrrnectsvr�nas�Seers Tsarle,�e��'ater and�+aver De�tactmerrt;ha�(ae rsa#'xf'iesf. kt st�at��e ur�((awf� ar^�carane�irsg!"me c;�tdd ar��rrs�e�tiace�as beQr�rs�ade ars�#su�v�sr�rr�ctiara arsd�e�rar!c ic�ciderst�sereta'rras oeerr��ts�'o+�ed��se C r��sae�and�sCa�sde car�r�ect�Qa. �D2.�5 �tE:��it�S.�#t�tt3 tittt�dhW'I'tS+#t�6+a'C��G�fitt'�v'G'�3t34+# �,���ae ini�iai��nectiar�has�eerr rr�ade*.��Fre�a�r,errice�r��v�,�rnc ar�re se�+rer teac3�+t�fre prvgerh�line ar a�r�ernce �aeera'x:2a�s�ed to�e prnpe�lir�e�or�annecEson.'��ae a��a(Tcar�t;oavner,as�acxupasrt�r�.aser of�ar.rr premises shatl ae(tafa(e frar a(d r�� �c�usr�d�:ca art?f=maFer iirae an�seuver�i�es c�ecessar�Fcsr ccsnnectiora aF�re prarrdses fr�ra�+•ae cstain��fae�ms'se�. �F:tze gropert���va r^�quesrs�afrit2r�anc��er�vace or r��airs 6e;serfarmed by+�e G�,r,td.d�e,raroperL�awner stiall'ae�a oed For�e cost�af�Ze crsaisrt�nanc r¢�airs,�ncYu�dar►g r�ece�ar����t ra�irs�t a r3te set arrnuai�y'ay ar�adm,inissra��re peiacy. it�fraft be t�se r�arrsr�idity of;re ap�rliLar �+rsrie�,�c.�uup��t ar us$r+:v.�erF.�-rrs s-�andar^�r,sairn:essane��s s:�e seuver ser�ice line i�om fifre pr��ises+�t�s�main inducfing cfe&ar's clea rac�:cu'�trtg a�d�;rtafrrr�in i:{ae uo��r 3er.riCe�rb;i:gg�r�o�P�r�r�es�at3iti�.�astd�'t ruCfs�Ceigl�rc�.s�a�iit�rssur��at it romair�s ak�aue�:Ete; �cie o��re�anc3 ar�aro�aer:�_ (�Z�£838,1��139�.; � ���� 1,��?�.,����c� City of Fridley Water Department Address_� � ��-�' Name_ p,i,� �/yvy\ON Date_ q—��Qq Old Meter Number / ��_ Old Meter Reading �� �j � Replacement No. � Replacement Reading � � Replacement Make ��C�'� Remarks: ��^&?�`'� /��E �,Lp � !�� ��5 �v�t�6 �� Signed _ _,.. � , ._, ... .:,�.� � �: �' . �