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Meter Swap / � �a— :,� J t�u�—lt�?� e/ :, '� INSTALLATION u-nroF AUTOMATIC METER READER FRIDLEY Address C�� {� �1�' re� �� Name �� C� ��q, (G�, �1.�'� Date_ � —D � � � Old Meter Number � 6 � �� Old Meter Reading 6 � � �� Replacement No. � � S� � �� Replacement Reading 7' Replacement Make ��-d Q� ERT# �� Replacement ERT# Remarks: 4�.� Signe • ' Request for Service Report � City of Fridley Fieference No: 601-11-2743 Date: 01/03/11 Requesk Type= Install AMR meter Entered By: Wendy Hiatt Department: Water Citizen Name: Fiick Karjalahti Address: 6345 PIERCE ST NE CallbackPhone: 651-270-8055 Scheduled Date= 07106I11 9_Oa AM •---T�u�s�" Property Owner. Location Details: """BILL"'" � Request Details: Install AMR Action Taken� �t�S �� 1�.�d � �''� �, ' 0� ��:�� I � � �-� � �t �71 �� 7 � � �E � � �� ,�e,�� k � c �'-7 � �� 1 ��: r�.�.�� r :� �-� s► � � � � Fiesponsible Person: � y � Appro�er: Completion Date: � _ � �itizen Notified ��_—� l City of�ridle�� ,�Taze�De�a�e�.i 5�31 I.T�.versi-ty_A Y�nue 1�a% Fridley�iL�T 5��2 (763) �72-3�61 � � � /� � i/we C 1 �t�r� P 1� (4,�� , ,. _ �e�e�y a�io��W the Cit�i o�rli�ley a�d/ox its - employetis�o �o Rr�at is�.e��ssarv tu_;,-�1acQ�he waier meter_ i_unde�st�ud thai;.�e pro�ceriy ourIler is 1_iable ior i.he caafer line�o�.the��to t�e p�erlis�, an.d a11 i��r�or �lu�bi�g- (�er�i� c�de 4Q%.0� I als� '�old i�e �ity;,i Fridley andlor iis e�nlovetis har�less ior any damaQes tt�ai�as oz�u�r wl�ile �oin�t,�is operaiifln. This ��in�la�i�_but �oi li�ite�.to; valves, P1F�n� �'alls, foors or tue c�'� sto� b�n and s��i�ce 1in.e. 1 �n.der�t�nnd I am �.iso requ.ir��.to Dbza;,-�. a��i#p�_o�-�� .y tivo-�, s�i�e:�ssas;. i��ame: ICrG`�,� .%�'c (��/j _��ess_/ �7z��u��F/' d�, � . - -�1/�w �t�V t nc�ne 1�u�nber: S� -2? �/��5�� Date: � // / �, _.._ Siffnat�3re: / � _ ji . �`nTit.ness Si�-+ature: �� G-= y'-I 3 �:_�� .��Y.�i J. 'l�L7�� - � - i�f�i'�'��+�,i-�i=��2_�.'��.�'��,J��'�i�� ."�i��'��i�1� 'J`��ta�'.1'��i��'� � � �� (kei Qrdi�Tc� 11�,154, �o�, �o'b, o?�, 030, 0'0'2,92^, °80, 1114, li�o', Il�i) =��D'�.fl5. ��'F�� , P��r to cansirructing or repaar oz any�xaie;or sewer 1_i�e co�ectiug the�<,isl�ng municipal system and any hous�or ouiIciia�:or��hicn i�e ar,p�cation is made,the o�n�or coniractor ahall be re;�uuired to oo'rain a peimit for such conne��ion, azd shaIl na�a per_nii ize as provideri i�Cna�ie.� 11 oi`u�is Cod�, �frer-such cann��tican has btien�ade,�e WaTer��Sz�ve��epa�—tme��all be noii�e� it shall oe unlawnti tL cover any conue��ng iine until a.n mspecrion has be�u�ade and such canne�-�on aud the wor3�i��idenz t��ret� has been a�preued by�e Ci�T as ��orooer��s3i�ble canne:,-tion. �02.��. �.�=��:��i�_�1�i'�'��Ta�''T�:v�'� ��v��'�'I��T �fte:�.he i�tial.c3nae�fion has beUn�ade to i�L�.��r servic� c�.�b sto�bo�or��e�zwer iead�`�•e oropez�Z line�a watz:ser�rc��r seurer�ead has b�Un z:>cendea ifl the pr��—ry line for canuec*�nny t.�e appL�an� o�rne:,or the oc�upant oz user 3i s�c��remiszs shall'�e liable tar�ii repa�-s lequired.to any ;vater line �nd any sew�lines ne��ssa�,�i�r c��nec�on os��e.premises som i�.e main tQ th�prem�es. Lf - the prflperiy o��er re�uesrs��n#zzance se>-v?ces or re�,airs��perrorme�'oy T.he �iry,�e properry owne< shaIl be c�arged ior�e costs oi�e m�inte�anev a�d/o��aars, �nc��dinQ 7Fly necess��sa-e�t repairs,at a raie set�ualiy oy an adm�r�is�saiiva�Qlicy, ?�s�a.31��t}�e r:.s�c�sibi?it�r ofthe a��lic�r, o�,vner, occa�anT �r us�r tD peri�r�:sta�dar�ma.niz�anc�02 he se�,ver service-'_�e aom 1�e orez�ises to the�ayn inc�u�i.zg de�.i-�s c'�ua.L-�ing or r�oi cni#��d�Q mai�ta3n th��ai�r ser�ric� curb stap bo�i�r a-t�erabiliiv�d at su�� hzi�t us�rill�a-e�1�i�;t re;n�s abazre�e fi�is�L:i�ade o��i e l�d or�ro�certv_ �:,i 53g, T 1�5, 11�?j