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Meter Swap '� ��� l �i Ks-�tWiW�J � INSTALLATION u.nroF AUTOMATIC METER READER FRIDLEY Address ��a�i� �'}'�, ����" Name � � � �� � ��� Date ��i' ����� Old Meter Number 7��� � Old Meter Reading � � 3 1 � � Replacement No. =s ���r'I Replacement Reading � Replacement Make � Q-i"" `i`-�`,'�'-�- ERT# � � 3� � ��� v ReplacementERT# Remarks: (�S-c.r� Signed• � Request for Servic� R�p�rt ` City c�f Frid{ey r�€�r�: �t-�7-�s�� o��: �orz�a�t � T�rpe= �Stali hMR�eter Er�+�ti 8y: We�r}�att [�p�'tment: Water C�izen�d�ne: Fit��t �� 6060 6TH ST ME ae�c Ph�: 7'63-5744�G9 Sctr�ed U�e. 1�14f1077 i�P'I�1 mp Pe�ext�r Um;�: Loe.�ion Det�s: Fiequest D�taNs. tnstap AMR _.�_ _ . , A�c#ic�n T�: ; .,l'/�- ��- ��� � � �C .-�`o t ,11f°'.�-' �'''`-,�..,�..p,,' �1l�o,q ��Ir'1 t I ; Q" s.i i � j � � � � � � , , [ . � � o(d r��f�>� � `3 � �' � 3 � -� � � � � � � ' o t�� r'��1 n-� i i n c �. �.� � �-I 3� � � s � � � � ' I�e.� I'��.t�►� �` � �'�- .� `� ��0 3 6 �l ��' � _ _ _ _a ��P�,: � ��� ; i��� �� � , � -- _ _ . ..�.� _ _ .- ; ��: -���: _ _ _ _ -��,r�e� 1��� �-►� . • ' lrylfy Of�IIC�Z;T !�'.3I���e����T i�!-��� LT1`I.�.ZI�I"S1�T_�Y^cllile 1���'i, �n�l ey�iT�(�l S���� �%6�� ���-jJbl Uwe he�e%y a�o��, ih� Cii�� or F��.ley a�c'�/or iis em�loye�s io uo u�-�a��,�e��ssarv to_:,�la��i.he r�at�.r me�e�-_ �_unde�staud thai;.�e propz�y o�er is 1�a.�le ior ihe water line-F o�ihe m�to t�e pre�s� an�' all i�z�ror , �lu�bi�a. (�er�i� cnd�402.�� I�?so '�ol_d�e Cit;J ci Fridley anv�`or iis e�lovetis har�less icr any dan�ages t�at,-�a1 c�i�u�wl�e �.oin�t.3�is opera�ifln_ T�is �o in�la��_but 3oi limite�l.to; �ialves,PiP�ng, �vails, foors or t;�e c•:�'� sto��oa.� an�se��ice li�e. 1 Ln�.er��d I am als� z�qui.���.�0 0'DT"c_i� :3i�-�it p1=V1 LC �j� '/YO�S� �11a_�.riVSJCLlYv. Name_ ., r A�'c�ess: �nt�ne l�umoer: �ate: . n...---._...�,�. �: �ill`�a��` � ��... , � �w �11T1LL�SS �1�atL1Tl,: � >"�r�i�r� _ __ _ _ _ _ _ _ _ _ _ _ :�� '� .-�'i�-�;'I'��fl�� - - ^�.,��`T'��=�fl�_�s?l��'��,�'�'�����%a7��'�'�'��i� Sr�i�3_��'����,c .��.�.��'�'��'�'��1�� (kei�Jrd iVa l I�,1b1,�bJ, �o'o, 02�, 030, 0'02, 92=,°30, 11�, ll�a, 1191) =�13�.fl5_ ���I°✓�'�'�; , P�ar to consu-ucang or rep2ir oi an✓�Naie;or sewer 1_ine con�ectiug the e<�istiug municipa.l system aud any house or�uildia�=or w3licii��e a�pl�cation is marle,the o�ner or cantractor shaL'be re:�uired to oo'rain a pemii for such conne�tion, a�d sha11 oau a per_ait fee as provideci i�CIla;�ier 11 oi u'�is Code. _h_ffrer�such connzction has b�en�ade the Wai�r an�Sz�ve��ep�—t�eni��Il be r�o�e� i#shall oe urla�vTu.i tL cover any ccnuec�ng.iine unt�1 ar�inspection has oeen�ade and su�h connetition and the worl�in�ideni i��reta has been approved by�e Ci�T as �pra�es�ct�aitable canne'�tion. �02.�a. �a���.�I���_�1"��'�'�Tm_i'T�:�'�'�3 i.������'��i�T �er the i�ii�l.c3nae�tion has be���de tfl�i��3r�r service c�.3;� s�op bo�or�he s�wer iead�u�e properkrlin�or a�ate:ser�rc��r se�rer aeac�has bevn z�yndea io ihe pr�e��:y linz f�r can�ection;�� applicani, owner, orthe oc�upant oz�ser 3i sac��re�ises shall be liable tor ail.rep�rs leqnirzd io auy ;vater line�nd 2ny se�-r]i�.es ne�essa�,�Tor co�nec�ian Ql;3�e�FEmises�o��.'�e maln tn �he�rem�ses. Lf - the nroperty�,u�erre�uesrs��nienance se;v�ces or re�,aiTs�e perrorme�.b�The �iry,�e proper�7 owne� shall be c�arged.ior u'�e cos�s of�.he mainte�anc�a�d/or upa;a-s, �c��dm6 any ne�essar;�sire�t repairs, ai a rgi�set ar�ilaliY by an aamir.is�aiiv�policy. I:.shail�e fi31e L�SyGC�S1b�11ty Oftll� 3D�3I3C�T, awner, oc���i �r us�r rn peziarr�:sta�dard mu�nteuanc�oI ihe setiuer servicti 1.�e from thL p��iises io t�e�ain;n.clu�g de'�.r_s ciQ�-ing or root c�s�tr�d io maiata3n.ihe waLr serTnc� curb st�p bon i�r oaerabi7ii�r�d at suca he•�ai us�i7I ers�e��iat;t_rem�s aba���ue f�i.s�L:i�-ade o�t;�e land or�ro�Priv_ ��i 53R, 1_i��, 119"!j ..<�;,