HomeMy WebLinkAboutWater Meter CITY OF OSHKOSH WATER DISTRIBIJTION
WATER METER PERMIT
(Please Priat)
Date: ��2`//�5
Meter(s) Installed At: �3 � G L / L Jx- c- s '7 2 �t�
Name of Owner. l� �u-t�i t� � /�l t�S
Address of Owner. 1 G) �( I � �$L�� C� S 'T rz- �� -
Meter(s) Size: 3��r '' .
1Vleter(s)Use: Check the Use(s) that apply.
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Single Meter �+e��+���
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Note: 1. A Plumbing Pertnit may be required prior to the installarion of the issued water
meter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Piumber, 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 inst�led and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company