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Meter Swap '� �-j,�,�� ��7 ����—�t��r �--� � INSTALLATION GN� AUTOMATIC METER READER FRIDLEY Address ,� �v� ��++�'3'0�� �} Name �E'or�%� S�• i ��`�-� Date �'� - l _�� Old Meter Number � � Old Meter Reading � B � �`i�Z3 Replacement No. L��� �3 W� Replacement Reading � Replacement Make „Q ERT# 3 � � �� �C�I Replacement ERT# Remarks: � Signed:���� ReqUest for Servric�e Repvrt C�ty of Fndley r ���fE'fi1C��: ��-��-�� �l.°: ����� T�rpe� JU�R�er Flrt�r�d By: k�Ve�r I��t [��r#r�t: �1dat�er C�azerr h�a�e: Geargia Ad�ress� 5�JEFFER�CDN ST C�iE Ca�a�k PF+crne: 763-571-2d94 Jc�dul€�d [3rate_ 12"J'11ZQ11 lt}:�/W��V+'� Prope�tyCh�er: Lo " i��s: Request Detals: krstaN ArMR A€�ion T�en: �, $ i � [ � � � i ; i , o�a �,�-�. � �� � � �� g� o 'ld� �-c�d�� � � � 6� �( � �f 'v ��e�r� ti3s�a3 L�� nt .✓ ���di�+. � � � � �� 3 � 1 �/ � 96/ � €�ar��#e P�: �«� ---- - ���'� eti�[l�t+e: : t:�+z+� ' �� �� II - - ..r-�-- � Ll� Of�IlCj.�:z�7 �'ate�Depa3-tr�e�T 5�31 L?�versitST�v enue��L. F�idley�iLnT 5���2 (%53) �72-35�i1 � � Uwe he�e�Y a�o��e the Cir� o'r'r�.�ley a�c',/or i'rs - employE;,s�o �o ��at�s �e��ssarv to r�-�la�e�.he�ai�,r me�er_ _T_unde��tand thai;.�e propz�y o�er i� �able ior the Rater line fo�ihe m�to t�e p�e�s�; �.nd all �.iLr�or �lu�bi.�a- (Per�i� �oa�a�o.%.o� I�?so �old�e C�t;T cf Frid.ley anv`or iis emnlozretis �ar��less icr any c�amaQes t�ai�ay o�;cu�while �oin�-t�iis operaTifln_ Tl�is ��incla��_b�r noi li�ite�1 to; �ralves, P�P�n� �va.11s, fioors or t;�e c�'� sto;�'oo; a.n�� s���ice 1iae. 1 �ndeisi�d I am �1s� zequi��� to flb�a a��-�it pr_o�ic �ny�o-� �r�ne��ssa.�y. ���e: a �,�B ���s a� S� _�����_ �h�ne i�umber: Date: I�..- � � �� � ' S�gnat�.re: - �il1J1fL"cSS �l�atlll'�. ,� _ �� i�e �pr re�ds.� 1 $1 G � �( c� _ _ _ _ _ __ _ r3 ._ ����;������ - - ��,������a�_3��.�:y��,������,�����s�Y������ ���s�������r (kei rJrd iVt3 11.;,161,�ti�, �oa, 525, fi3o, 0'02, 92?,938, 11=�=1, ll�o, 1191) �tB2.fl5. �y�.4I��'I'�; - Pi or to construcan�orrepair oi any waie:or sewer 1_iue cer�ecii��the e<,istinb mw�icipa.l system aud any hous�or'�uildia��or whicn i�e ar,pl�cation is m�r1e,the o�er or cantractor shaL'be re:�uu3redto oo'raiu a pemit for such conne��ion, a�d shall nau a pel�lit fee as provideci in CIla�ier 11 oi-u'�is Code. _�$er�such connzctinn has btien�ade,the Wai�r��Sztive��epa��en�.v'�a1I be�.oi�e� it shall�e ur.�awnu tL cos�er any con�ec�ng.iine until an mspection has oeen�ade and su�h conne�t�on and the worlc i��ideni t��re�a �as been approVed by�e Ci�T as a prooer��saitable canne�-tion_ =�02.��a. �'��i-°��.�a����1"I�'��Ta�'T�:��'�3 ��iii���I�i�T �fier the iaiii�l.conae�fion has be�n�nade tc��L�.�a}�r servic� c�.�,� siop bon or u'�e se�e�iead�`�e proper�rLi�e o�a�;,rater ser�rc�or seu�er'•eac�has been e.;tendea�o ihe pr�ne�ty;inz�nr ean.�:�ec+�on;�e �ppLcan�, okvner, or the occupani or aser 3r ssc��r�mises shall be liable tar�ll re��;rs rzquirzd to any wa2er line and any se�r�7ines ne�essat�zar co�neci�an o=;3�e�remises son.�e ma.u�tn �h��remises. If - the property o��?ier Te�uests��inienance serv?cas or re�airs�e performe�by ihe �i'ry,�e propezry owver shall be c�ar�ecL ior�e costs oz thL maiute�ancti a�d/or��a;rs, �nc�vdma any necess3r;J sirzet repairs,ai a rate set�ualiy oy an aami�is�aii?a policy. I_s�all'oe the res�cnsibiit�r vf the a��l�c�r, a�,ner, o�:,�s�anT or.us�r io pe�i�rrn st��dard mustieuance or ihe setiver se:vice_�e�flm t�e p��ises ro tt�e�ain�ncluc�g de'�r_s c�aa.�--ing or r�oz curt��-�cl io mai�ra3n i�v o?3Li SES`T1C� curb s�p br��iar o�aerabilii�r���su�a hzi�i us will�.s�re�at;t_rEm�s LLba���ue frais��:i�ad� 03�i e laul or Ero�cPriv_ �K:,i 53 e, 1���, 11�1 j