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HomeMy WebLinkAboutWater Meter - 12/27/2005 U,-I:.S PLUMBING PAGE 01 ~ WW<OOo "'00 ""oemm . :2..3'-- ~?r3q 00_. . 00 00 CITY OF OSHKOSH WATER DIS'I'.R1BUTION WATER ME-TER PERMIT (PJeue Ptiøt) . Date: '~/1:>.7IoS- """<oJ"""'.... 3,. W¡..¿...~ Pr' Na1lleoCOwner. L~1f ~~...- Address or Owna-. 0 ¡; ))£-, '. I Meter(s) S"1%e; J " '. Meter(s) USe: Check the Dse(s) tJlat apply. Typieal NeW Construction . V Single Meter ~ """"-'a . F- -~- 0 ------ , - Typical Dt:duc:t Meter ... -- -~ - ~.- --- . , fdA...íT& f) - t4P~NiJ.) ~c. . ,/r/!:j , TyPiea1 MWti-U1ût, Multiple Meter - --- o..~::~ T)'piC8J W8lcr Use 0IIIy t.b!i . .'~= :::- , '-..p- o, '-""""""--..-...r., . ~ /' ,'" --....:: --- ---- - Note:- 2. A Plumbing Pemm may be required prior-to the ÌDStaUaIion oftbe issued wm.:r meter(s}. . . ' 2, All plumbing mUSt be conducted by II WiscollSin Licensed Plum_, except a hlÞJl1e owner may )eÜorm his/h@r 0WtI pllUDbing within tIx:ir SÎIIg/e fiJDWy, 0WDer occupied home. For- inquiries- please calI 236-50$2... 3. Metet:>~ 1-112" require a bypass. Meter(s) '~I ~ÏJIst¡r led ao4 used aƓording 10 the aboVII mfunnation. ,~- fl-U Ü;E Q læë:'s AuMß/N~ Signane of 0\V2Ier or Agent Print Name of AppIic:aut and ConJ.pany --