HomeMy WebLinkAboutWater Meter - 08/31/2005
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CITY OF OSHKOSH W ÄTER DIŠTRIBUTIÒN
WATER METER PERMIT
(please Print)
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Date: ~ - ~ I -0 ~
Meter( s) Installed At: 2.. C J- '( W 0-.. c.J::: cA U
Name of Owner: G~r<t.~o<. J~<'?--t;,(7
Address of Owner: .2. S"") W a. rJ C{ u Ii
Meter(s) Size: . ~/ ~ . .
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter
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. Typical Multi-Unit, Multiple Meter -
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_10
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-10
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Typical Deduct Meter
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Typical Water Use Only Meter
_10
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-10
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"""CUØ""" VALVI!
Note: I. A Plumbing Permit may be required prior to the installation of tile 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.
Meter(s) will be insulled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company