HomeMy WebLinkAboutWater Meter - 01/06/2006
CITY OF OSHKOSH W ÄTER DIŠTR.IBuTION
WATER METER PERMIT
(please PriDt)
. Date: 1/6 I t7 ¿;;
Meter(s) Installed At: C; 2- ç-
NameoCOwner. ÎJ ffW/.?'j-
Address ofOw~r.f. 1 '" Ltt
Meter(s) Size: V',r
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter V
. 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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Note:. I. A Plumbing Permit 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 hgme
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 insttlled and used according to the above information.
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Signature of Owner or Agent
6-72[05- 5c/+Nim- P ,j-.s P L ß {;.
Print Name of Applicant and Company