Meter Swap `' '� o��� �v����-���
_ IIVJ IHLLHI IVIY
�/ AUTOMATIC METER READER
G7YOF
FRIDLEY
Address 6y6�7 CI�r�S'�'�hSdA ��
Name ��� � �(/SSP,�'F�
Date t ` J ' ��
Old Meter Number � 7�� O g O 6
Oid Meter Reading O S S v�
Repiacement No. J i'O�y sa r�
Replacement Reading �
Replacement Make �a�a 2 r
ERT# r,�� ,S � � I S �
Replacement ERT#
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Remarks: � a
-� Signed: �
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Request for Service Report
� Gity of Fridley
R eference N o: 601-11-2744 D ate: Ol 103/11
Request Type= Install AMR meter Enkered By: Wendy Hiatk
Department: Water CitizenName: AblaYusseff
Address= 6467 CHRISTENSON LN NE Callback Phone: 763•670-9130
Scheduled Date= 01105111 10:30 AM —•-'� , Property Owner:
Location Details: 6467 and 6461 Christensen Lane Request Details= Inskall AMR
Meet ak 6467 Christensen Lane
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Action Taken:
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r. �{ ! 7 � �-C E 1
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� � � 6� ��6� ��a �. � �{� �- � 7 E '� `� $ � �
c� �S`�I � � � �"+.�,i r�.� � : .�� � 5- � � b � c�
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Responsible Person: ?`�..,...�..- � . ,..
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ApproVer: �
Completion Date: M � ^ �� , ! �Citizen Notified
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City of�'ridley
�'aie�De�art�eLi
5�;31 LT����si�ty_��renue�i.
��ialey�i�i�l 5���2
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� Uwe �e�e�y an��o��� th� �ii�v oz r��1ey a�d/or its -
em�loye�s �o �.o ��a��.,;�.e��ssarv tu rU�lac�ihe�ater met�r_ 1_unde�st�.nd thai i�e
prope�iy ow�er is lia�le iox ihe caater line fro�th�mai�.to t�e prer�is�, an�.all�i�r-�or
�lu�bi�a- ('�er�i� c�de 4Q2.0� I a?�o '�old�e Caty oi Fridley ancv`or its em�lov�tis
har�less ior any damaaes t..�at�ay o��u�whi�e �oin�t.�i� operaTion_ Tliis t�incla��.bui
noi L�ite� to; Tialves, P1P�n� z^'a.i1s, f�ors or tne c�'� stq� b�x an�s���i�e]ine. 1
u�.derstnnd I am a.is� requ��a to obta;� a pti�i.i nr_o�t� �n.���ro-�, ii�ne��ssarV-
�lame: _���ess;
1 h�ne i�um.'oe�-: Date:
Sionai�re: � � _ '
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�1tL8SS �1�a.tlll':,: ' ....�._, l' c"'r' `i'�./
,�i :�, ������1�fl�� _
- `:����+',�:=�.»��.�.'��.�'y�,�.�'�.r'���!�i�-y+`�r�3.la-�31�1'��i>���.���i� -
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(kei Ord iito 1li,154, �b�, �o'o, 0'2�, 6�0, 0'02, 92�,°30, 11��, l l�a, 11?1)
��D2.fl5. 3���I°d�'�'��� ,
P�cr to cansiruc�n�or repair oi any�xaie;or sewer line conneciing the e;,is�tinb municipal system and any
house or�uiIding_or tphic'n i�e a;�pi�cation is m��le,the o�r�ez or contrctor shali be re:�usre�.io ob"rain a
pem�it foz such conneation, a�d shzll pa�a per_nit ize as provideci i�Cna�ier 11 oi li�is Code. �frer�such
cannz��n has b�en�ad��he�7ater an�Szwe<�epa.�-hr�e���a11 be�o�e� i#shall�e�awnu�L cosrer
any conne��ng iine until an ins�e�iion has oeen�ade and su�h co�ne��on and the woik i��ideni t��re#c
�as been atipreved'uy�e Ci�T as �proper�ct s�itable cannev-tion_
�02.�a. �.��ai�i'I�i���'�'��1��'T�:L'�'�3 ���v��`�'��t'T
A,.�te�±he iaiiial.con3e�iion has be�n�ade ta ihe�,�ater servic� c��b siop bon or t�e�ewer iead ai iie
propertyliee nr a wat�:ser�rc�3z seuzer�eaa has b�vn z�rndea ifl ihe pr��ex-ty 7ine for eac,:�ec�o�;�e
applicani, o�ne.,or�e oc�uvani or u:se�3i suc��remi��s sha1l be liable tar ai."t rep�s 1 equirzd�o any
,�rater line and 2ny se�rea-lines netinssa�,T iar ca�ecy�-'on as i�e nremises�om i3ie maiu tn �he�rem�es. If -
the property o��er Teanesis��n�erance serv?ces or re�,airs��perrorme�'oy t�e �ii�l,:�ie proper;v owner
shall be c�ar�ed ior�e costs oi�he mainte�ancti a�d/or��a�rs, �c�t;diuQ any�e��ss�s sire�t repairs, ai a
raie set�ualiy b_v an aciurinis:raiiJe�olicy. I_shail oe t}le r:,s�CiLSIb11t�T O�tlle aD��3C�T, otivnez, ocwa�anr
�r user to peri�rm sta�dard m�:nieuance nI he seti�tez sezvic� 1�e uam t�e pre�isss to tt�e sain inclu�i.�g
de'�s clea�-ing or root cntti��?�d io maiara�n ihe wai�r serTric� curh s�p bo�iar o�erabi3iiv and at su�n
hzi�t us wi3l ersnre 1-i�;t rem�s aba��the fiais�e��ac�e o3 u�e la�d or�ro�Priv. �hei 5�Q, 1_1_5�, 11�1 j