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Meter Swap � �� ) i�-v�5�7���0 � ���'� INSTALLATION u.n�. AUTOMATIC METER READER FRIDLEY Address - ( �6 �yGe �r+u 1� B� Name �o/ ���'����''� Date � 4 " �'�� `� Oid Meter Number � ��� � Old Meter Reading � I� ` � � Replacement No. l � � � � �a , Replacement Reading � Replacement Make t,�a.�q� ERT# � � � 'Z7L'� { , ,/ Repiacement ERT# '� cwuC e L-.�I'+ t Remarks: e�✓ � ��� Signe • w - R��s� f�r '�rv�it� R�panr� t+i�y ctf Fri+cil� R+e� �: �1-'�2-5494 �kate: 1�.�7J�112 �T�= �tN►��-1 �'� �: �� ��� �� Add�s= �i� �l�1� Ca�sac�c . 7�#-T1�-7�'Ss �3.ed�ied�: �ap�Ejr t9�a: f��ais: Pieic�d�eaaw��r im��n�ee�he h�s �!le�: ���g�'�iis �ra� ` at�i�r he a�t ' ar�►. � �d�+do�ant see anl�J sa�!� a��et m�ima�r_ up_ �Tair�st_ W�;PC`�����,���..� �--��� � t,J`�Pc�"�'� 1� C5�'�' --� ��--�"���l�� v 1.��'�L ��`2 1�S N��JZ= P� � �, ��rnQ, tk3�-�^2 ��.V IC:� Tt� ��1�T' 1�o2T�1 0� �-� � r � �g a ��� �,�� �y �2�� �20�� � I- 1�-+� �� ��: �_._._ � � . �. . _ ._._ _ __ ___�__�_�.___� ��_-_�_��.�________.__�_ Page 1 of 1 Utility Facility Response Locate D/T Response D/I' Comments CIT'Y OF FRIDLEY-CFRDLY01 S,W 2-Marked 1ll14/2012 07:49:24 11/14/2012 07:54:42 TZCKET 123190153 NINPRS 11/19/2012 07:92:98 GOPHER STATE ONE CALL LOCATE REQUEST --------------------------------------------------------------------------- TICKET NUMBER: 123190153 OLD TICKET: � BY: � NOELLE M SOURCE: VOICE � TYPE: EMERGENCY DATE: 11/19/2012 7:40:97 AM � SEND T0: MNPRS SEQUENCE: 153 COMPANY INFORMATION ---------------------------------------------------------------------------- GROTH SEWER AND WATER TYPE: CONTRACTOR 775 TOWER DRIVE HAMEL, MN 55340 CALLER: LARRY GROTH CALLER PHONE: (612) 250-6395 CONTACT: LARRY GROTH CONTACT PHONE: (612) 250-6395 COMPANY PHONE: (763) 978-6712 COMPANY FAX:. COMPANY EMAIL: GROTHSEWERANDWATER@Q.COM WORK INFORMATION --------------------`--------------'--------------------------------------- � STATE: MN � WORK DATE: , 11/L5/2012 8:00:00 AM � COUNTY: . ANOKA DONE FOR: RICH JOHNSON � � PLACE: FRSDLEY � . STREET: 456 RICE CREEK BLVD � INTERSECTION: 69TH AVE N � TYPE OF WORK: �WATER SERVICE EXPLOSIVES: NO TUNNEL/BORE: YES RIGHT OF WAY: YES DURATION: 1 DAY REMARKS ---------------------------------------------------------------------------- CREW WILL BE ON SITE 11/15/2012 6:00:00 AM . EMER REPAIR OF WATER SVC, CREW WILL BE ON SITE TOMORROW, 11/15/12 AT SAM, � CREW ARE W(0 SVC, WATER IS NOT VISIBLE • � MARK THE ENTIRE LOT TO THE NEAR CURB HORIZONTAL DIRECTIONAL DRILLING WILL BE INVOLVED � MEMBERS -------------'--------------------------�----------------�------------------ � CODE NF1ME � PHONE NUMBER --------------------------------------------------------'------------------ ACSMSPOI ARVIG COMMUNICATION SYSTEMS 763-682-3519 � � BRLNRROI BURLINGTON NORTHERN RAILROAD 8005332891 CFRDLY01 CITY OF FRIDLEY 7635723566 � COMCST03 COMCAST (612) 522-8191 METWASOI METRO WASTE COMMISSION (651) 602-4511 MINGAS03 CENTER POINT ENERGY 1-800-778-9190 [�IIVCMRROI MN COhII�fERCIAL RAILWAY 6512958609 MNSDOTOI DEPARTMENT OF TRANSPORTATION (651) 366-5750 QLNMNI9 QWEST (B00) 283-9237 TMOBILOI T-MOBILE CENTRAL, LLC 612-966-0844 � XCEL08 XCEL ENERGY 6126304366 ZAY001 ZAYO BANDWIDTH 888.267.1063 - LOCATION ------"--------------------------------------------------------------------- LATITUDE: 95.0992133623176 LONGITUDE: -93.2710997247578 SECOND LATITUDE: 45.0874100922214 SECOND LONGITUDE: -93.2534778399906 . . T 30N R 24W S 10 Q SE T 30N R 29W S 11 Q SE T 30N R 24W S 11 Q SW T30NR29WS 14 QNE T30NR29WS 19 QNW T30NR24WS 15QNE http://mnprs.korterraweb.eom/Response/Respond/123190153 11/14/2012