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HomeMy WebLinkAbout2005-Water Meter CITY OF OSHKOSH W ÁTERUIŠTRIBUtlÖN WATER METER PERMIT (please Print) . Date: IOh~ ó <; Meter(s) Installed At: ¿5S 0 S IdA~ ¡('Red!.}.J ,s;..'T Name of Owner: ému.N1'i<.:UJ <rtt.2:P pVlA¿L Address of Owner: <;'14""" t!: Meter(s) Size: ::3 / '1 Meter(s) Use: Check the Use(s) that apply. Typical New ConstruCtion Single Meter v . Typical Multi-Unit, Multiple Meter - -_v~ . <:;.. ,.... -'10 ~~- ¡----- ~. -'10 ......... -.....- ---_VIILVI! Typical Deduct Meter ... _ARt -- M&DIMI!D -l y~. ,~ Typical Water Use Only Meter -'10 ----- _8aA1K8V~ +~ t-=:~ ~. I ~"'-=--V"'vE.. ... SAMr"'" - ..-- - -'10 ..........- .. /., ---- -"'Vo\....v""" --c::JII'oÐ.V""" Note:' I. A Plumbing Pennit 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 hgme 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. Meter( s) will be instUIled and )ßed acc~. d accor . ng to the ahOY. e information. ~ /A----f: ~<>A ;Ll6-€-1 . -C»Jé.rL,¿ ÆAJ7é'A.~fl-:::f¿:> Signature of Owner or Agent Print Name of Applicant and Company