The URL can be used to link to this page

Meter Swap � �� ( INSTALLATIONt�� ' ��.N� AUTOMATIC METER READER r�uix�r Address �(C�� "�—" ��T� �T Name ��ICiP. � ��Y Date �-�-1� Old Meter Number � F ^T Old Meter Reading l aZ � Replacement No. � �� _ Replacement Reading � Replacement Make �/�� , ERT# 33�3�1 I � Replacement ERT# Remarks: �� Signed: Req�e�f for�ervic� R�port ' City of Fndley ��r�: s��-�1-�� a��: ��r�r�o» � T�: t��rr n�� r��d a�r: w�� t��z: w�� e.��rv�: p��P� Ad�u� 5�1$5TH ST�!E adc Phcx�e: 763-�74-�470 "Sd�reduled Date= 11/9�Q11 8_-OQ AM �.�4� , �r�ap�y{)wr�er- lx�c,a�ian f7e#�1s: Rec�iest [�ta�s= instaA /1MR }�Cti�T�: ; i �;5��-- �� F � � E � � � c�!�-r�. �- l 635�►�� .� ��- ��a5��7� � N�-,.�, �n�t��--- y3S��q�l ��-� �,�o�,�--�6 � .��_�t � �— 3�3p`33�?� � _ _ _ _ __ _ _ ��: ; � ��: � -� ��: C�t�;��,r� �� M 1-"1'�� eq��t fo�r �� Rep+or# City arf Fridl�ey � r�: so�-��-�72a ��: �,�;�� T�: t;�d�a�c,c�►t� r��d a�: w��acr o� . ��- ��,r�+�: p� Ad�ess: �1�5TH�T NE C�adt Phone: 76��7d-9470 � D�e_ Rro�e€tyf�Jw�r: Lbc�ic�n I7E4a�s: ��est Deta�s= Fioae�awner had� d�ar�ed_ Cire�k Gt�I�sain for debris_ Ac�is�n 7�c�en: . C,;�-� �n G�l'� ��✓ � ` -�(�� 0 �-C�v�O�/ � �� f � � � � � � � ; � � � � � , � ' � � � . _ _ . � ��: � -- � __ _ � ��: ; �,o��: � +��►� -� � L�-�z. : F�€�q��f+�ir�(�tlt� R Ciiy►of Fricf� � . �a. �-�2-5124 �: 7;r'�3l2012 �Tjr�e� t�r�c�eanetl�dt 4�NI� �r: � �Cpa�t: � �ti�rr�dame: f'at t�r Aid�: 5618�TF1 S�T!� . 7�4-�470 S�d�d t�e= {�r� i.o��: Re�t�s: E�a�rer#iad�'s�e ��ed_ Ctre�c t�r�ai��ar�_ Ac�n 3a�: t3[jr�ain c3ear� I�id r�d�a��aa��r. � I Di�#�e�es � � �� _ �i"2��+2(li��-.3�Ai� � . � ............ .�� ..m.��.�._.�._�...._ ...e._�.�m.. ��.