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Meter Swap ____ � r �;; :�-'" �,i�t{�3'-'e •t ,�-.-� �� City of Fridley Water Department Address ��( V�r��St�7t�'�{� � Name �'t)�S t-�1�.� Date � �"`�� Old Meter Number_��j�� cl"`''� l�leter Readi �"�.�! ,. , �Zrt - � - � �� eplacement No. �� 4a�� ,.,,_,{J�N`�(_� 4 1� - ,�� • Replacement Reading Replacernent Make ERT# �C� �� Replacement ERT# Remarks: �k�- ��G� � �� r� Signed ' >, f��'IC8 z�1a. cn�—nQ— ��L��t �� 3"3L�� { � --�� 0729 �� O� ��'�C�aL'�✓ Service Ret�ueste� Shut water off at street/install AMit Date 11/17/08 �rne 11:OOam - . Department , Public Works Division Water Location of Service need Sinclair — 6071 IIniversity Avenue Owner or.�gent of Property Hussein pho��: ��..13 _ 952-250-6411 Name.of Citizsn ,�`�IC�� }�'U.1,�Yj I��tU . Phone: (H) Address � �e De#ails of Re uest � � Shut water off at street and install A1�R. �Meter , Avvt set for Tuesda�►, November 18, �008 at 11�OOam �t***BILL***** �?et;uest Taicen By: T�Tendy - - - - �:..:.:..,:...,�.,.:.=,-.-.:..�- .........::::. ................... ,::::.::....... .:............................................... ......::�::._:.::........�..�.. ..:...�. .._:::::.............. ..:.::>:::.:::.:::.:::.:::::�::.. ......................:....:::::.�::........::::_:::::::::::.....,:.:.,.::::::..................,.,,.:.:::::.:;.;:.;...::..:.:.�:... .-v-v.-.:.�.:-:_::.�::.,-:.:::.:: ................. ....... .............,::.�::::.:::::.;.;.:_..- .. .:..........,............ . ...v... �--�--�--.>.�.�.�:a:..r...:�:.,._v.::v::<-:�:...::;:;�-u<.. Department ��i"1��- Persar� res�on�ible for request "t"'"� � Titte Action takan (include date &communication with ci#azenj �� 1�-�'�� o ti-� �"�`` �� L�� C��'� �c�` �t� �'��= a �-� i S C;�'��t� �ea �' �t.�r-��'� — '�� c�� ?''1� �- c-- ��J�� '��/��' �� '� � . - �v��►�r-� �- ��i �a7y � �� ap r��-�--- � ,. . - � . � � �t�� 7� Date Cleared � �.�' �� Ci�iz n notified � No � { } >igna#ure t* persan ciearing`request