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Meter Swap �:�-��-� ,✓' 1�-�c���� .ti���-�� City of Fridley ` ' Water Depariment Address ���� ft��'�'�'� � Name � � ��.�/l����, � Date �^i�J"�j �� Old Met ber 1 � '[�� �U���`T =�� ��.,. ` din� �. � �� � �6'��3 � �� .Q.�,,..,_ � ���� R���� �..__ ���`7 Replacement ERT# f � . �' �� Remarks: �,t.��,,z„� --� �" � : Signed `'" �S� _ �—�� , �f�eferenc2 �io. �01-08-0083 ����8��� ��f ������ �c��� - , /�� ���� �� �r�dl��O � Servic� R2t�u2sted � install pa�� 2/14/08 ��m� .1:35 P�I . De�artment Public Works Division > Water Location o#Service need 1313 HiZlcrest Drive NE � Owner or,�gentof Property -.��.-rj' Phone: (H) � Name of Citizen Phone: (H) � . Address � Det3i�s of Ret�uast House is vacant � and Al� needs ta be installed. Lock bo� eode is > . .. � 8362. . Please 3.nsta7l AMR Frida.y,. �'ebruary 15th. IIO 1 lII Ret�uest Taken By: Jeana �- - -... ... --- . -viS.M'''i'iiiiiy-:..'-':i4i:"-i?'J?.Yvn:i:iiY.-p�:i-0:.i,::r.....:.:.::v...::::::.,-.v.,- _ .:�:v:i.:ti�i:^^:.i:i.i::ii}i:i:.ii}.:�ii:ii:....Si:hf.i}.:-:i:v}:_:iii:......_ ...'.........'_. .....,. - '. v.,-n.:n__._ . . . . . ........�:......v..\..........:v:..-:.vxv:....x_..}±n:.v:.:ti::ryv:...t.rr.:i.s.�'irid:::�u:::.v::-�hadfJ::JiO:iAY�..:.+}_•i4_v.}:!t1A�:tC-:C:�•?:JC:�}iia,v,:'C�'?tv.i[}i:tiM�P�. Departme�t � Persan respon�ible for request T�e . Action taken (include daie & communication wiih catizen) ����,�-�j�� ����` �. ., � �L� �����`'� �C�c��..=�-� ��`�7�� �-'�-�.� ���—�4 ,��� : . _ � ���t.= :;t1/I�T��, ��� �� t�6� �c� `�'"�t` ���C d T��L�--r ���'�,�,�t�.-�'��::; �' ���3� � `T��--�::� ,�'���"�� ��� e�. � �—�r- � - �pt,�� ��� ; ��. �- ,�9c��-r'� g—�"�. ���--z-�. �'g,,�,,�gc�� - ��� r�` , t����� ��31�� . '����c i��"Z��r� e 6� �t.�.h-�C�IJ . � �� �,- ��t�� c� . ��� � -- ����'� �tc�`Z �.. Date Cleare�i ����"�� • � Ci#izen natifie� Yes No� . . . gnature of persan ciearing`request ' � ' . �t. . . . . . . . . . .