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Meter Swap '� .� c�l�� rs-��v3�J INSTALLATION u�nroF AUTOMATIC METER READER FRIDLEY Address -� U�C� � � '�W' /" �'1 �u'' �7t Name �.0:� �Ul�e 3'.�'4:7 Date �" � z7 � Old Meter Number � �`u �^: � )�� 3 � � Old Meter Reading ��b 6 �� Replacement No. 3 1 O � �� Replacement Reading J"'" Replacement Make lJ�l-�_°��r ERT#�_�C��C� � 3 � ✓ Replacement ERT# Remarks: � �-� ��v G�' - �'►Nv Signed: Request for Service Report - Cit}+ of Fridley Reference No: 601-11-3182 Date: 07107/11 Request Type: Install AMR meter Entered By: Wendy Hiatt Department: Water Citizen Name: Lori Anderson Address: 5000 CLEARVIEW ST NE Callback Phone: 763-571-0125 Scheduled Date: 07l07J71 9_00 AM Property Owner: Location Details: NlC Requext Details: Meter is old Install AMR Action Taken: �4r��e a�d �,-,� .�:- �„ �� .�� ¢ 1'� r�. � � � � � �o �.�� ,;d �,,,e� . o �d r��;�.J �� l' � � n�w r��'t-et- � �1� i � � t 7� � �ne w �'e�� x.� � � � �� .�. ��-�f�; �;a 7 3 � � Responsible Persan: � •''��/ r i ___�___�T�� !.�_ ��/ �------ - Approver: Completion Date: � � Citizen Notified Y7 ' � - �1 � City of�rid.3e�r �hTate�Depart�eni 5�31 L?�.versity�v znue 1��L. Fndley�iL�T 5��32 �%6�7� J7�-J��71 Uwe [ .�,''u,�,�,.� �VI,^�.�� n -�� he�e#�z a�o��v thv �i�� oz r�i�ley a-�c�'/or its em�loye�s�fl c�o u�hat y�e��ssarv t�-�-;,pla��he�ai�,r meier_ i_urzd��stand thai i�e pro�ce:.iy o�vner i� 1_iable ior ihe�r�er line fro-�n.i.he mai� to t�e pre�is�, an� a11 i�t�r�or �lt�bi�a- ('�;,i�i� cod�?C�2.0� I a]_s� '�ald�e City�i F�d.ley and�`or its e�lovetis �ar�less ior any damaQes t�ai,�ay oL�u�T while �oi7i�t�is op�raTion_ T]�is ��incla�i�_bu't �oi li�itefl to; �ialves,pipin�, walls, f�ors or t'rie c�'� s-�o;�bo� an1 s��ii�a ]i�e. 1 u�dersT�c�i I am �.lso zequire� �o Qbta.;n a�ti�ii p�_or�e an;r�io-�?�, :z�n�ti�s�a.ry. �lame: ; ;"�t a b�� -'+Vlc�� •�/'�'�-� _��ess: 5 11 ;" ' �, � , ` C�.�— t'� ., � .i.,cC.V t��x..1� t n�ne i�u�ber: `1�t;-S .�� I ' (.:I L 5 DatE: -�� f I il1�o.�1I�F�. �{/i�(.i1/\� �.•✓'l/��,/�/�„��-�� c� �-�.� . �`i�ii.�ess ,�i�ature_ �, s.----- y i�1�� .�v��'�"Y�C�� - - �i�iE��'��,,�:!�?_3.'��.1�'��J�.�.'�'��!�i��i`� '�°iL'-� .�3t�r'��i_�'�.'J��S�iz'��. � � �� . (Rei OrdiV-0 lli,40�, 5b�, �oa, o2G, o�o, 0'02,92?,980, 11'1'1, ll�a, I191) ��8�.��. ��'��'�� , Pror to cansaucang or repaar oz any SN3tZ;or sewer line co�eaang the e«isting mun�cipal system 2nd any house or ouiIdi_a�for wIiicn ihe a�p]�cation is m��le,the o�er or cantractor shal�be re:�uu�sed to oorain a pErnit for such connea�icn, a�d shzll pa�a pel�ii fee �s provideci i� Cnan�er 1 I oi-i�is Cod�. _�frer�such cannz�Qn has buen inad�ihe G�Tater��' Sz�ve��epa��en��all be noii�e�. it shall�e urla'wnai�L co3�er any ccnne�;�ng iine until aa iuspe�iion has oe�n�ade and suvh conne�tion and the worlc i��id�ni�.�retc has bee3 a�pra;red by�e Ci�T as a prooer�ct s�itable canne�tion_ =±02.��. �.��.��i"/��r'I'r�'�a�'i�:� '�'� �.��vvr��'��I°T ��er the i��l:con3e�ii�n�as besn�ad�tfl�.e z,�ater servic� �.�-� siap bo�or��e�..we�iead;�`�e proper��line�ar a watz�s�r�n_'c��r seuzer'•ead has b�tin z;�endeu ifl�.he pr�ei-ty linz fnr can,.sec+�.o�;�.e appL�ani, o�ner, orthe cc�upani oz sser�i sach�rzmis2s shall'oe liable tar aiire��s lequu�cito any ;�ater line �nct any sew�-liues ne:,-essaE�ior c��nection o'r�e premises�om�e m-ain ta �he prem�es_ If - t�e property o��er Teauests m�n�z�ance sErv?ces or re�,aL�be perrorme�.by The �iry,�e propez�T ow�ner shall be c�ar�ed.ior�e costs oi�he maiute�ancti a�cVor��a�rs, inciudmg any ne�ess�J sire�t IeF3ITS,3I 3 ,� rdi�Sz�a"IlI'ill3�lY DV 2A 3C'LIl71�15TS371��l7017CV. T�S�3��e tlle r�S�CIlslbllt�T Dftlle aD�I3c�T, O�Y?1�I, O��i1�dIlI �r user ta pe�i�r�st��d�-d manizuanc�nr he se�ver servicti�e from the p�r�es io the�a;n�ne�u�g � , de'�i-�s cla��n orr�oz csrti�a� s � h ,�d io maiarain i.�.�Wat�r serric� curb si�p b��i�r oper�bili-�r and.:i such he�,ai`�i as�ill ersnre�at;�rem�s abfl��t�e fiais�e��ade of�e lzad or�ro�Pziv_ �ei 53g, 1 i 5�, 11�-'_j