HomeMy WebLinkAboutWater Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
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Date: � z- � - 9 z
Meter(s) InstalledAt: iY� � � fs K..��S�, �\ e� � — �11SS SO UAku�oon QD.
Name otOwner. 5 0.M�
Address of Owner: �i S S 5 � 0,,.4�..e e� ?-�- �
Meter(s)Size: 3^ C= .— p,�.,.� o
Meter(s) Use: Check the Use(s) that apply.
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Typical Deduct Me[er Typical Water Use Only Meter
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Note: 1. A Plumbing Permit may be required prior ro 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 the'u single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters> LI2" require a bypass.
Meter(s) will be installed and used according to the above infortnation.
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Signature of Owner or Agent Print Name of Applicant and Company