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Meter Swap � �c��s--Y�-aa-�� �� �'�� INSTALLATION u�nroF AUTOMATIC METER READER FRIDLEY Address 5� 4� � l�'��� Name �t1-�C�/ ��JtJ �P��� _ Date � � "O� —'�� Old Meter Number � � �,��o Old Meter Reading Replacement No. ��cv� c�a�� Replacement Reading�� Replacement Make A�� ERT# � ' � Replacement ERT# Remarks ��� Siqned: __ Request for Servic�e R�pcyrt . Ciiy a►f Fndley ��r�: so�-��-�� a���: �tn�noi� t�quest T�pe� frestafl AMR metex Fl#�d By: W�endy��t i�epartrnent: �flfat� Gtizen Narne: �� Adctess� 554f>7TH ST NE �adc Phane: 763-�740284 Sc�aeduled D�e= 11l2'�2011 S:OQ ArM �.�$ - P"�ae�tY�: �n�Y�a+ren Pro�I.LC Lc�eatic�n��s: � Detals: irtistaM AMR �T�: i '����v 1� ��� � , � � . � � l � � � -- � �>`1 ���►�� � � � ��� � �,c� ����C� — �5� �1� � ' ��� ��T� � - �-13�10�� lC� ° ,ll�� 1�-� ►uC� - � F � - t� � � ��� ��t � `�4�y R�,���: � , -- __ -- _ . _- „__ _._ _,_� E i���. �ft�e: _ (�j�..uiESl�C3�I1C� � �` �� �I � _.� Lity of�'ridleT� �Taie�De�ai-tr�e�t 5�31 L?�versit�T_A v euue�lL. F?-idley�i�'�l 5��32 . (�63) 5�2-35ti 1 � Uwe����I(;}}�G ���-�)�J16Y1 S he�e3�v a�o���, th� �i��oz F�i�ley a�c'�/or i'rs - employetis io do �hat��e��ssazy to r��lac�the c,�ai�.r meter_ T uude�st�nd 'rhai i.�e propz�y o�ner i� 1iia.�.1e ior the�ra�er line F-o�ihe main to t�e pre�iis�; and all i�i�ror pl�bi.�a. (�er�i� cod�40%.0� I�s� �o�d�� C�t�,�cf�'rid�ey ana��or iis e�lo��etis hamless icr any c�amages t�aL t.'1t 2.Y �LC73�r whi3� �oinC t�iis ope�aiifln_ Tbis �o iucla��.but nai li�ite�l.to; valves,P���n� �ia.ils, foors or ti�e c�� stoa'oo� an�s���ice Ltae. 1 Lnderst�d.I am a1s� r�quir��i.0 0'DiB.IIl 3�ti�ii p�_or io any�o-�, iz ne��ssarV. �`�ame: _4�d�ess_ �hone i�umber: Dat,:: . s��Da�II'�: —���/t� �.f J�� �AT11.L�C.SS �`.31�a.�11T1.. (`�J1 a %C --- _ __ __ _ . __ __ _ __. . _ _ _ _ _ _ _ :�`+'�I�3 .-r+,�r�';'�'����� - - ^_���'�+��=���.��I��'y�,�'�'��lY��1��`-�+`���ifi� Sr�I�3:��'S���� ���'�'������� (Rei OrdiiT-o 11=,16�, �bJ, �60, 02�, 030, 602, 92_,930, llu, 11�6, 1191) =#a�.�5. ��'��'�+� , ��or to conszruc�n� or rep2ir oi any�N3IZ;or sewer 1_ine con�ecting the e„isting municipal system and any house or�uildia�for��hicii i�e ar,pl�cation is m�de,the o�er or contractor shall be re:�uired to ob'rain a pemit for such conne�tion, a�d sha11�au a pernii fze as provide�.i�Cha��e;11 oi-i�is Code. �,fter�such connzction has bven�ade,�s Waizr��' Sztiye��Epa�-t�eIl�,h�ll be no�e� it shall be urlaw�ui tL ca�ter any ccnnec�nu iine un-ti1 an jns�ection has oeen„3ade and su�h ca�ne�tion and the wor3�i��iden;,t�ereto aas been approVed by�e Ci�T as �proaer�ct sai�ble canne�iion. �02.�a. �����t I��:��'�'�'^Ta�''T�:�'�'�3 �.�lv��'�'��1�T �er the i�itii�Lc3naection�as been�ad�tc�i�e�.�3r�r serT!ic� c�.�b siop bo�or��e�ewer iead�`�e proper��line o�-a water senrc�3r seurer�ead�as been z�iendea�o�he prane�-ty lin�f�r ennr,ec�io�;�e applican�, owner, or the oc�upan�or sser 3r suc��remises shall be liable tor aiI repa;rs iequir�d�o any water line and any se�-,s liaes ne�essa.��r�r cozuection Q'r��e nremises�ton i3�e maiu Tn t3ze�zem�es. If - the nraperty����er TEauesrs��nizrance se�-vic�s or re�airs�e�errormed'oy The �i'ry,�e properiv o,��er shall be char�ed.ior�e costs of�he mainte�ance aad/or�pa�s, inc��dinP any necessar;J sueet repait's,&L 3 rate set�aa.1i_y bv an ac%mi�is�-aiiJe aolicy_ I_s�a31�e the res�o�sibi?it��of the a�plic�t, ativ�er, o��upsnT or use:io pert�rr�s��dard m��nteuanc�oI he sztivex servic��e from the p_reIIises io the�ain�cludi�g de'�rs c1Qa��ng or rooz c�si�ff�ci�o maiaia�n ih�waLr sertrie� curb st�p b��i�r operabi7it;r aud�sucn he•�i as will�2re�at;t�m3irs aba��`ue�is�v:i�ade �f u'�.e l�d or�ro�Priv_ �2�i 534, 1���, 11��!j