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Meter Swap ! �Z(�35 -�`� '1'��e� ✓F �� ,��' City of Fridley ' Water Department Address �� /� �� Name j'�1�1 C '`� ��.h h /�---�- Date � ` l--�" `—� (} Old Meter Number , b Old Meter Reading � � d 3 �J � Replacement No. b �.3 � Replacement Reading � � d 3 �� Replacement Make /.3 tid��' �-' �` ' .a-�3y I 4 5� ERT# S �,w�•,-c, v Replacement ERT# a-�3il"14 S3' Remarks: �r o 2-e,� l'�.,�.•�-� Signed � � Re#erenc� i�o. 601-08-0092 ��5� �fl� ��lIC� ��:�3t)f� - ��,� �� "�(��L f ServtC� R2�ueste� Change leaky meter �g�e 2/22/08 ��e 1Q:l0am . De�arnnent �blic T�orks Divisiort Water Loca#ion of Setvice nee� 8041 East River Road Ownef or�gentof Prbperty Eric Rrahnke Phone: (H) 612-819-8981 Name ot C�tizen Ahone: (H) � Address Details of Request Change leaky meter. Appt. set�Ytor Friday, Feb. 22, 2008 at 10:1Sam fy Request Taken By: Wendy - - �.k-x,: . ::�t�.: a:t:: . - .tir•.. ..,,�._ t•�:�r . . . .•.<a::. .n.:cca:s• +•a:� ...::.:..::.::.,-::.::.::::-. .:.-.'..�,-:.::.:::::..:.. ...:.::::.:....:....:::� ..........�:.::.>::....-.:ti::.::::::.:,-:...-......:._:�� ........_. ..............:..... ..........r..... ..............:::�::•>:::.::�:x.c.::�:>:-::�.--....:. . ...........'"'""' . . . . . •i�/+ Departme�t S/1��-�2 Y-- Person respon�ii�ie for request � .e_ T�f� . Aciion taken (include date & communi�at9on with citizen) �. _ / h-� Y�-,�.�.0 L.. /— }"G ? C�- ��"d�E-Q ""`� 't- d�-��f-1�-, � G � � /� ( �G �1.,,� � � � r�� . � ' " � t ' 6 Y ��?�'�' � y,�r� �6?/ !'1/'^' c'..-, S'� L''� (j � . � � �- '7 � � ,9 d d�� _ �e��/�� 00:3o e _ . �-�.� � .� , ' � .3 3 � l ��. ��1:� �J d � �o L �e IC7` l`L.� /�.-e�.. �a�- 1`�-e f� �� ' ,�� Y� ��.,� .. . _ (.,,.� c..�2.- ��/C � • Date Cleared a � � �.--- Q �- Citizen nQtified � No a+gnature of persan cfearing`request �� .