HomeMy WebLinkAboutWater Meter - 7/11/05
CITY OF OSHKOSH W ÄTER D1ŠTRIBDTION
WATER METER PERMIT
(please Print)
Date: 'í 11// 17-)
Meter(s) Installed At: "3' J G- I ð S c? ~ c- 0 t{ Q r
Name of Owner. 1+1..{ I..> ¡--1.A-1'-' ¿&-J.-- !.TR tic-rl°¡<--
Address of Owner. 3 ~ LI"Z.. L <? &1/.5. if C ct{ fVT, ð'~ I+fïo~ l..f-
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Meter(s) Size: . 1
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
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. Typical Multi-Unit, Multiple Meter -
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Typical Deduct Meter
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Typical Water Use Only Meter
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Note:' I. A Plumbing PeInÙt 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 caJI 236-5052.
3. Meters 2:: I.. 1/2" require a bypass.
Meter(s) will be insttlled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company