HomeMy WebLinkAboutWater Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
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Date: �'`� _
Meter(s) Installed At: 0136 A /1/4e
Name of Owner. %7!e ri-tk ua rs t'r-f z—
Address of Owner: . 5et'il1 c: 5 /1
Meter(s) Size: 3,/
Meter(s) Use: Check the Use(s)that apply.
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Single Meter NITER N►TO"VALVES
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Note: 1. A Plumbing Permit 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 perform 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.
Met ) will be 'ns Id used according to the above information.
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Signature of Owner of Agent Print Name of Applicant and Company