HomeMy WebLinkAboutWATER METER PERMIT
CITY OF OSHKOSH W ÄTER DIšTRIBUìlÓN
WATER METER PERMIT
(please Print)
.Date:_~d.&":'Ò S
Meter(s) Installed At: ~ ~ \. ~ ~ ~ f\-J..e.-
Name or Owner: è::v.-\-ìss . ~'IN€-.s
Address or chvner: % W, b ~ All ~
Meter(s) Size: y~
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction. ./ . Typical Multi-Unit, Multiple Meter -
Single Meter V. _.u....-
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Typical Deduct Meter
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Typical Water Use Only Meter
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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 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 insùdled and used according to the above information.
t4#F r: eÀ<9-s ~\JW~~~
Signature of Owner or Agent Print Name of Applicant and Comp
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