Loading...
Meter Swap }(�z?�s-�,�H� '� ���t INSTALLATION unroF AUTOMATIC METER READER FRIDLEY Address Ci C �� ��� � � Name 1p Y`ti �6�t'- � o�t� �� _a � - l� Old Meter Numb ��U� � � � � � l� ( �. � -�.c� Old Meter Readi - - Replacement Na �• ��5 ����__ Replacement Reading � Replacement Make ��g'��' ERT# � �� O � � 4 b v Replacement ERT# Remarks: � f!�� r S"?�H� Signed: ,� � "�''��t �G��, )-`��� "�t..�.�-(c�' '� �,. � INSTALLATION FRIDL�E1' �. . : _, _ _ =, Address tD�� � — v7�� Name � i�lO.Mf� f Y LC�12'�T'�. Date �� I � ,) f Old Meter Number L �` �O�a� Old Meter Reading � <J\ �E.) �� Replacement Na � I 3 Replacement Reading_�� Replacement Make ��P��,'�,, Remarks: ��V /' v�Tt� Signed: ���' d'^'`,� Request f�r �ervice Rep�rt . City af Frid�y Refer�nce No: �1-11-3578 Qake: 10/17r'�011 Reque�t Tppe: install/1MR meter Flik�e<i By: We�+dy��t [k� ; . �Ue�ter Crti2ert��ne: Tt�9 A�#e�c rC{�n5�'lA� �p`'�e1L.. Acl�+ess� 6Q41 4TH ST NE ack ' . 763-�71-f763 Sd�duled Date: 1Q�17l1[il l 2:OD PM �YIU Property Owncx: l.oca�oan[�e#�I�: � R� Ueta�s= kestap'/WR � p��� \�' ����: � �,l2� � ! " � �T��` (le+� j��e1 Pr'`���� ���� � � ���� ��� �� ; p��l �e��' � �o�.�3 �3 �►3 ' O �� o t.� r�,e t.dl� � o c� � 6 � `� � � ; {�e w �.c�}-e�� #� �`�-v� 5 .� � � I /le 1� �e�� � � QT- �. '333 � 3 �3 `�6 � � ' �� . _- _ _ __ _ ._ __ � W_ ._ -- .__ -�_ ____ _ _ . _ __� � ; , �_ � ; Resp€�r,�Per�,: ���,r'�,�.�— [ ��� ; _ __ _... Ga�et�n il�e: ` �� �� -�.i - I I „ Request for Senrice Report ' City of Fridley Reference No: 601-11-2937 Date: 03/28I11 Requesk Type: Leaking meter Entered By: Wendy Hiatk Department: Water Citizen Name: Thomas Mortek Addresx= 6041 4TH ST NE Callback Phone: 612-715-0043 Scheduled Date= 03129I71 9:30 AM �V,pS�� Property Owner: Location Details: Request Details= Change leaky meker Action T aken: �-----..._.. ..............._� ..,.-----.___.�_.._._....__.—.____________--- ���� �C�% /1��7�L o�M�—.� � -- ? al 3 � �- � C)�0 2� 11Jb — `� � b � S c� U �� 1�1�-�z--� �1C�y8� ��3 i �C� ����1 fJ(��— � Responsible Person: �� �' ����� �� - � Appro�er: � � Completion Date: � �Citizen Notified � �--a� ��� �/�' � � . City of�ridle�l �i Tat�;De�a�eni 5�31 L?��ersi�ty�v�enue 1�a�'. Fnaley�i1��1 5���2 �i6�� ���-�J�b� � Uwe he�e�z ant�o��:, ihe Cit�v o�r��ley a�dlor iis - employe�s�� �o �r�at is�e��ssary tu r:.�lacQ�he waie�mete�-_ i_unde�st�.nd thai i�e propz�-iy o�ex is 1_iable ior i,he Fvafer line fro�.�he mai�to t�e p�-e�is� an�all i�i;�r�or �l�bi�a. (�;,r Ci� c�d�402.0� I a��fl �.old�.� �;t�J o�Fridley and�`Qr iis em�lo=�etis �ar�.n�.ess ior any dama.Qes t��t�aY oz�u�r w�ile �o�n�t�is operarifln_ Tliis to incla��_but �ai L�ite�.to; �ialves,�1P�n� ti+'a.�s, f oors or t'�e c�'� stq� b��an1 se�lice liae. 1 �.dersr�d I am als� zequir��.�o obta;� a�ti�iz pr_o�ia �.���ro-�?�, s�ne;,�ssarV. �`�ame_ _4��ess: t h�ne ���ber: Date: Si�nnal�ze: _ �`nTit�ess �i�aatuze: � ��,�. y.�fC /'�'� / � e�-, i//� q�� q,� y'iy :• � .i��'.i3 S ���� .. - 'L33t+��.P,3����a��_%'3.3y���3��341'3'� :'7'ti3i��i3 t�l� �t31y3�:�1 ����.L'i"`i � ���.19���l i'a_����lY (kei�Jrd iiTa 11�,=�b4,�b�, �o'b, 02�,030, 0'02,922,°uo, 111�, ll�a, 1191) =�a�.fl5. ��'41'��'�+�� , P�or to canszruc�n� or rep2u-oi any�uaie:or sewer liue cor�ectin�the ei�istinb municip�system and any hous�or�uilding_or whicn i�e a�pl�cation is ma�le,the o�er or contractor sha�be re:�uuired io oo'rain a pemiii foz such connea�iQn, a�d sh2ll nag a pernit ize as pravideci i� Cna�i�;1 I oi-ihis Code. A,$er�sucfi connz�on has b�en�ade,ihe G�Iazzr an�Szwe<�eaa�-tme����11 be�oii�e� it shall be urlawnti tL co�rer any ccnne��n�iine until an inspeciion has oe��,�ade and suLh conne��on and the wor3�in�iden;.t��re#o has been a-cjproved by�e Ci�T as aprooer�c�saitable cannevtion. =�02.��. ���U:�[i�1'a��"�'��Td�'T�.i�'� ��LY��'�'��1�T Afte:fi_he initi�l.c3na���on has be�n�ade tc�i�L�,�ra��r servic� c�.�b sio�bo�or z�e�zwer iead ai�e proper��]in�t3F z w2tz:ser�rc�3x seurer�ead has bevn z.>r�dea�fl ihe pr���-ty lin�f�r ean,-..ec+�o�;�e appL�an� oarne:, or the occupant or user�i suc�}�rzmises s�all'�e liable tor aiI zep�rs izq�irzd to aa.y :�ater line and any se�+r�-lines ne��ssa,�T�r cann�c�o�os;1,�Dre�ises�rom�e maiut tn �.he�zem?ses. Lf - t'�e�roperty o�N�er re�ueszs��n#ezance services or re�ait��e perzorme�.by The �iry,�e prope�?y ow�er shall be c�argect ior�e costs oi�he ma;Ilte�ancti a�d/os��a�s, �ciudm6 any ne�2SS3I�J$"(7'Z�t repairs, ai a raie set an�va.liy oy an aami�is7:raiia�policy. I=s�a.11�e t}ie responsibi�it�r of the a�plic�r, otivnez, occu�ant nr user to pexi�r�st�dard ma�nieuauc�Qr�.he se rver servicti�e aom the�orz�ises ifl tiie�ain iuc�u�g de'�i-is clea.�_iug or rooz cui#���ci�o mai�-ca�n ih��ai.�r sezTrie� C7321J SLiJI7 L�Oti i�I'0�3E23tJ1�1�V oIlL� at such he��t as will er�snre=t-iat;�_re�3ins aba��tse finis����;ade o�u�e laad or�ro�env. �ei S3 g, 1��.�, 11��!j