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HomeMy WebLinkAboutWATER METER CITY OF OSHKOSH Vi ÁTER DIšTRIBVTIÙN WATER METER PERMIT (please Print) 01-"2.. - oS Date: d';/ l;V .1:. Meter(s) Installed At: Name of Owner. . \N ~ \ Address of Owner.~ (J)t Meter(s) Size:. '?,'Z{ Meter(s) Use: Check the Use(s) that apply. Typical New Construction V Single Meter -þ- . Typical Multi-Unit, Multiple Meter - -~V""" . s;. ~ -'IQ ~.::~- 1---- ~-'IQ ...- -- .....--_V"'" Typical Deduct Meter IIO-Illt -- ......",.., Typical Water Use Only Meter -'IQ -.....- --- +~ F= ~ '.............. --_VAL'" . . 110_"'" -- AU.QMD -'" -.......... .. '/. ---- --!lOA..... VALVa --=-_VAL... Note:. I. 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 hQme owner may perform hislher own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters~ 1-112" require a bypass. ed according to the above information. SóS 1L/;t¡ýljj/l/~ &-¿.C Signature of Owner or Agent Print Name of Applicant and Company