HomeMy WebLinkAboutWater Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Pleue Print)
Date: % � � , ' i.f;:
Meter(s) Installed At: l 7 > � %- ' r`, t=����`
Name of Owner. � l) <-c� c_ it=, ;�- c ar�'T�� /'I i-/-� <�C��_
Address of Owner. �2 '� �� /�'�!�=c ;���� i? �v i�: : c�5 l�-l-���-� !�-h c�,�/
Meter(s) Size: '��i '' . �� I �I c j
iVIeter(s) Use: Check the Use(s) that apply.
Typical New Construction ,Typical Multi-Unit,Mtiltiple Meter
Single Meter ' � yneem.���
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Typical Deduct Meter Typical Water Use Only Meter
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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.
Meter(s)will be installed and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company