HomeMy WebLinkAboutWATER METER PERMIT
CITY OF OSHKOSH WÄTER DIŠTRIBVTIÙN
WATER METER PERMIT
(please Print)
Date: ~2't'-cJ5
Meter(s) Installed At: <6 Ó 5 Þ ~-e.A"" Au~
, Name of Owner: 'C-<-.;r-~ ss.' \::k"" ~-.s.
Address of Owner: Ltc) \.ù b~ A-V-e.....
Meter(s) Size:' 7'-\
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
Ví ,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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-....,-
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Note:' I. A Plwnbing Permit may be required prior to the installation of the issued water
meter(s). ,
, 2. All plwnbing must be conducted by a Wisconsin Licensed Plwnber, except a hQme
owner may perform hislher own plwnbing within their single family, owner occupied
home, For inquiries please call 236-5052,
3, Meters::: 1-1/2" require a bypass,
Meter(s) will be instð!led and used according to the above information.
S ~ ~ p' e-US P(J..J,¿
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Signature of Owner or Agent
Print Name of Applicant and Comp