HomeMy WebLinkAbout2005-Water Meter
CITY OF OSIfÍ(OSH W ÀTER niš':nUBDtlo'N
WATER METER PERMIT
(1'leasePrizlt)
. Date: /J. -1'1- PS
:Meter(s)InstaUedAt: aìé. Wl"clot.w..oal 0".
NalPeofOwller: Mið.""e..s? c,ellt....;t .Co¡"h...t.""'"
Address of Owner: 100 JJ we.<tJ,........." D/". O"I..¡{.<I..
Meter(s) Size: 31<1 ,( .
Meter(s) Use: Check the Use(s) .that apply.
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S'/90'1
Typical New Construction
Single Meter
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, Typical Multi-Unit; Multiple Meter -
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-'10
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Typical Water Use Only Meter
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Typical Deduct Meter
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Note:. 1. A Plwnbing Permit may be required prior to the installation of the issued water
roeter(s). ' .
. 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hQme
oWl.'ier may perform hislher own plwnbing within their single family, owner occnpied
home. For inquiries please call 236-5052.
3. Melœrs ~ 1-112" require a bypass. .
Meter(s) wilJ be insta:I.1ed and used according to the above informlltion.
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--1' Sig¡¡atUre of Owner or Agent Print Name of Applicant and Company
P0/P0 39\1d
9NHlNnld ~311\1M
E1L6-EEL-0(;5
"[P :0(; 900(;/E1/(;1