HomeMy WebLinkAbout2002-Water Meter _ ,
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:.J�� �� " ��Z
Meter(s) Installed At: 3$�v l..% c:� l�. v c�c C:�
NameofOwner: .��dre� ifa�v-�s
� Address of Owner: �a�5' r�. L�stih.;b`� S -
Meter(s) Size• �,��.1"
Meter(s) Use: C6eck the Use(s) that apply.
Typical New Construction Typical Mulri-Unit,Multiple Meter
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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 p]umbing within their single family, owner occupied
home. For inquiries please ca11236-5052.
3. Meters> 1-1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
i�7��..R.� �J�Z� �i��an ��c��.c<�` 1�a-1�T�f5 ����b�15 �r� _
Signature�f Owner or Agent Print Name of Applicant and Company