HomeMy WebLinkAboutWater Meter CITY t�F OSHKOSH WATER DISTRIBUTIUN
' WATER METER PERNIIT �������
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'Meter(s)Installed At: `�Q� � � �3r' �
Name of Owner. ._ .� ,c�
Address of Owner. d� �
Meter(s) Size• /-'�`.
Meter(s)Use: Checkxhe Use(s)that apply.
Typical New Construction--�f� 'Typical Mu1ti-Unit,Multiple Meter
Single Meter ��Sf°""""a
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Typical Deduct Meter Typzcal Water Use Only Meter
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Note: l. A Plumbing Pernut may be required prior to the installation of the issued water
meter(s}.
2. Ail plumbing must be conducted by a Wisconsin Licensed Plumber, except a home
owner may perForm hislher own plumbing within their single family,owner occupied
home.For inquiries please caI1236-5052.
3. Meters≥ 1-1I2";requireabypass.
Meter(s)will be inst�iled and used according to ihe above information.
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ignature of Owner or Agent PrintName of Applicantand Company