HomeMy WebLinkAboutWater Meter - 01/25/2006
CITY OF OSHKOSH W ÄTER DIŠTRIBUTIóN
WATER METER PERMIT
(please Print)
Date: 1- 2> -:J..rXJ6
Meter(s) Installed ~ 51 (;"0/ . (]~ 'RUr¡ .\Yr2...
Name of Owner: ~qCf () .
Address of Owner: ;;¡ø75"" "?t!ttIi-l. U4'5Á hlJrl1
Meter(s) Size: V~ . .
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Vi
Single Meter -þ--
. Typical Multi-Unit, Multiple Meter -
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-- -- &::ItftRQ. VAL¥!
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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 hQme
owner may perform hislher own plumbing 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 insta:lled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company