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y ' Request Number: 16917 Public Works Division Service Request Problem Address: 7383 Memory Ln Requested By: Rel� Department: WA'IER Address: No a�ress provided Problemllssue: INSTALL AMR METER Phonc Number: 612-323-5831 Scheduled Date: 2017-09-I$� `,.� Schednled Tlme: 10:00:00 � /D G�.r1�-� ACTION NEEDED: Created by: Wendy Hiatt Date Crexted: 2017-09-0? � ACT'ION TAKEN: {-�.l�e � . � -_. � ..._......_._...._._........___....�:��._ _................._..._.....................__���__...._..__.._____._._.__�___. _ � �: :�� Status: In Progress 5abmitter H�Eeen r., Co�acted Date Comptcted: �v����� Completed by: � �`, � ��.,, ;_, . � � < �a : �, .�� - &�, � � � � � � �'� � � . t �:E� � � . . .. • � '����-c��r t���ax�`��e�rrs: a����,J�z�����a'"s°!,��;�a�e;r9�x�,'�� �r9�€��E"��a�9��� �r�4�� ��'Z(/—`�� �'��-���i-���'7 , `��� '�- � �' , ��`'�,a �e�-��+p aax�:i��rr�.w�:�ne sa��a`;°rsed�ee��csa��'r�s�r+�4��es�+��rr�is r�e� r�a�a��-;��ar��.��vser.2z. 1 us�r��,��r! �a?-�,'�e�ror,aea-+^�3+��t�,r is tia����as r.�e�.��r iss�e�^c��;a i�e rsaaeea�a�te;s�x�3s2�nd a11 irr�: pdaas-r�;�i�rg� i���C'i��,�,���p�.iB�J T 3ds��a���ae Ci�a^g�z�r,'a�3e�g��a�,�i��p��r+��s�a�������a�y dasauagAs�a�rna+��r•ar�s�t�• �g�e�a��e I;�is'�ies�ud�,fa���raC?im�r�a�r�ates,ci�rssz���u3�?�,�9a�vas�rt�s�sr�;����arzct�er-�iv-m laase. ir��,�a�cf�rs�ar�d i�a t���€r��.�ea°sz���ae^ir�a�trs�m��r�rts.{�ne�ssargd �a�,AiL,�7t��i��1Ri��{+s#��3a��� V YL 1(�.�� � �tarr�e•_ ��i V� ;�sa�r�a-��s 3 � N�l,.d ��a�e���� c�.��.— 3 a3 � 5�3 c ��_ �.— r� —��—r '�"���,�`��. �-�--�'')"_.�' ��tness�sgnatuc� �� ���� 3 �� �c�� 8 a �� ������� �� ��`�a t� ���,;���:��� � ��� �1� '? � �:��.������ O ��-�__ � �$�t� �3� ��d.��'��7�'t�3��� �'l;t�.��'�����4��.,,�'���������I�'3 Se�e�i���5��1�$$ ����fi�[���'3�3�at :���'i'�r�i��3.'t.�,���A�.a`�t,3�$�3., CS�.3y t�d.3�,'�'SB�o��v���$, ��=�rq �.��y Z�L�'�.� ��..rA �.�i�t��'� � � �r+as�*�car;s�s�r�g�r regaasr�rt acs�,va�r�f;�srer I�r��cctnrsests'�g�e��cistirsg r+�urrs'cipa���stAsn artd�cn�Ro�ase�r�uiicfir�g iz�r�nrhir,f acap�ica�o�r is rnade,t�e a�vvs3ea�ar coa�t�etrla-s{�afi�e requirad fio a�i�s a.�ee►r:�s�far;�ss�ca+�r�edibrs,ar�d�a1F�ay a pernsit fee�,5;sr� CSEa�C@!'LZ 4'�C{?SS Cf�S�'9, �i�:�N'ZSCtR�StftHCCifli"9 fi�5 qi28!?T't3Sf�,�e���'a�er an�ae�er�egactz�er�t�hait ae rsati�es#. tC sE�al��e u�xla� arn�cannecti�ag iir�e�.�it an�r�s��ar��as bes:�nxade arrd�cfa s�rarres:�Qr�arzr��e'�aC!4143Qi�6'��f'�'A?'rtas aeerr a�gfrnred�ay u�e C �r�aaer arsc!�a�taaktte carss�e�Qra. �2.�� Rc�aiRS,�a'�fi?s�r,i#��'1'�i*�4.t{�{��£�G$3it�S���C3� ;��e��e initia#�r�azectior�has�een rrrade t��fse�rai�r�e�+ricz�sr�s�uues aax ar�e se!wer iead at Hhe�sra�serny(Ers�ar a�atar;er�ice �aeera�:2srd�s3}:s��e pmpe��li�se�ar cor�rtect:ian,�e�p�a(icasrC,aavrser,or Qccu�aacrt ar rsses°a�F�,ecf��ra_mises shali ae(iatste f sr af1� ;^�qus"ras�*��ard=eraFe�-1�rse and s�uver{ines rte�ssas��Far co�nediorr af�+e�trQmu�s fr�rxe;i�e rrrair�i��se�rnr►�ise�. tF Hhe ara��va r^Qqaresks znaacst2nan+c�;eruic�vr r�pairs s�e�aerfarntesf�y*fte L��.c�►e carvpert�{owrsec shali�e��zar�d Fvr�e casts of he:r►-airt�rtartc ;��airs,�rsciu�ing neces�ar�street rapairs at a r�te set arscsuaf{�o+;r ar�administm�tive;�atiqg�, i�s�ralf�e Cfse r��tonsibiiity af i�te�p4ir.�r �*nrner, �ccu�s�rat ar user Ca.�erf.rm�andar�rr�ai�;esranc2�F�ve se+�rer ser+ai�(ina v�-om�e�rorr�ises ta�e ma�n indadirr��eksris dea rva�cu��irrg a�d�maerraarr�e�rcater senrice�,sr�a;�:c��2x���agaes�b;ir��and�surh�ei�ss�,vi�t�nsurr�it�.mai�rs akraae p.he i �de rnF�:ke;a�s�2�r�r��sea�_ {.#��538,3�6,139�# _ . 03"�� � City of Fridley '��«'��� Water Department Address ��� rn�C�'�b��/ �-.� Name TZ�-� .M,oR�� Date � 1 /` �� Old Meter Number �78 9 53�3 Old Meter Reading �EJ ' Replacement No. � ( d� V� Replacement Reading Replacement Make �f��� ERT# , Replacement ERT# ' L��y M��� - Remarks: r _ Signed �` i Request for Service Report Gity of Fridley Reference No: 601-11-2942 Date: 03I29I11 Request Type= Turn water oFFlon Entered By: Wendy Hiatt Department: Water Citizen Name: Dave WalshlvJalsh Plumbing Address: 7383 MEMORY LN NE Callback Phone: 763-784-6156 Scheduled Date= 03130111 10=00 PM�/ 1„„I Property Owner. Reba Monroe 40�.�C(f Location Details: Turn water off Request Details: Shut water ofF Permit# � ' � � � Action Taken: � ` � ` � _ �I � � � 4 � Responsible Person: Approver: � �..___ Completion Date: Q Citizen Notified �____r ______�