HomeMy WebLinkAboutWater Meter (1/20/2000) 01/19/2000 21:31 1-920-730-0898 HANSOMS QUALITY PLUM PAGE 01/03
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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: f'do"OD
Meter(s)Installed t:1!/� L"- ?),;tx„..
Name of Owner:, ., /'i 4
Address of Owner: 02 7j 4.1/110/1.-1 /. ? y1?k. 6ZSA SY O
Meter(s)Size: ''/
Meter(s) Use: Check this Use(s) that apply.
Typical New Construction Typical Multi-Unit.Multiple Meter
Single Meter • lawn NOIATios wawa
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Typical Deduct Meter Typical Water Use Only Meter •
NO 1INITANY
MOM ANOR osOOwlatTO nrfEntttOLAT=MAIM
num JIiMY WPM
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Note: L A Plumbing Plmmit may be required prior to the installation of the issued water
meter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Plumber,except a home
owner may perrm his/her own plumbing within their single family,owner occupied
home. For inquiries please call 236-5052.
3. Meters> 1-1/2"require a bypass.
Meter(s)will be installed d used according to the above information.
277 add-- tb
Signature of Owner or Agent a J
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