Meter Swap * �
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Citp o! Fridiog
Wa�t��r epar_
Address �S�� . ��L-1 I� CL(� �""J
Name_`.�� �l1 '�',1�
Date �—p�r�
Old Meter Number �a yg�j
Old Meter Reading ��f �
Replacement No. 3 ���j7
Replacement Reading�
Replacement Make ���
Remarks: ` � `
Signed����
, Ref�rence No. 601-06-0189 ��(����( FOf SeNICe R��Oft �i' '� � �
City of Fridiey _
Change meter/Get Reading -
3ervice R�quested Gate 4/21/06 T►me 11:50am
De artment Public Works Water
p Division
Location of Service need 1545 Oberlin Circle �j
Owner or Agent of Property Sandy Westman Phone: (H) 612-799-6218
Name of Citizen Phone: (H)
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Address
Det3ils of Request Please change meter and get reading. , ,,
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� Request Taken By: Wendy
Department � ���
Person responsible for request ��� Titie
Action taken (include date 8�communication with citizen)
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Date Cleared �1 ���� �v Citizen notified Ye No
Signature af person clearing request �
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City of Fridley
Water Deparhnent
Address ���� �. ��Lt tJ C�
Name �1-�� ��M�1�-�
Date "I "`�� "� l
Old Meter Number 3 0��JQ��
Old Meter Readin �
Replacement No. ��f'.v ��Y
Replacement Reading
Replacement Make �avC�l�
ERT# �a���(�47U r
Replacement ERT#
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Remarks: �(Z �.''� O�►�`( 'rf ��
Signed
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