HomeMy WebLinkAbout2004-Water Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
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Meter(s) Installed At: 3 f1 S S w d 4 N �✓vc C
Name of Owner: a-✓i ✓P w a �
Address of Owner. ��s 5 (,Jl�-5 f-t43u2N �T
Meter(s) Size: 3 y
Meter(s) Use: Check the Use(s)that apply.
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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, ovmer occupied
home. For inquiries please call 236-5052.
3. Meters> 1-1/2" require a bypass.
Meter(s) " 1 b�—V'`�L led and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company
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