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Meter Swap REQUEST FOR SERVICE REPORT CITY OF FRIDLEY Reference No. ��j� � Date: --�-- �, � � Request Type: Entered By: Department: Citizen Name:'""�p� /��J It�(� Address: 1 ��5 ��C12�T �R� Phone Number: -763��Qj–3�9.S Scheduled Date: Property Owner: Location Details: Request Details: Action Taken: r—r-- �n►��LY �� S�v� C� ��-, . ��7"� o� �Rl-L � �t'�� '$c��sT i�1 ��N`�JTt ��;,� �S 1 � �L�J�\�a t.�F� �2,�s�'o� ��C� �� i � `�—P��S �� n�� o ��S �� '� , . M.� `r N�� P�-r ��S ��vS� , �� S f�L��'� � �� .��tZ.� w Pt"�� v o��t�vC� `�� T� � �� Responsible Person: Approver: Completion Date: Citizen Notified: �� '� �