HomeMy WebLinkAbout2005-Water Meter
CITY OF OSHkOSH W ÄTER DIŠTRIBU'tÎÒN
WATER METER PERMIT
(pleue Prillt)
,Date: J,t',d
:Meter(s) Installed At: '13 a ¿.{¿¿þu,/¿;J/l "
Name ofOwøer: ' ~~.I SnA~ /1.'/';".:", '/
Address ofOw':er:::>f "un! ;/ r"",{ C f7//Ø;
Meter(s) Size: . 'hi /,I . .
Meter(s) Use: Check the Use(s)1:bat apply.
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Typical New ConstrUction
SingJe Meter
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. 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 insttl!la.1tÌon of the issued water
m~~. ,
, 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 insta:Iled and used according to the above ~on. .
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, ;¡gnature of Owner or Agent Print Name of Applicant and Company . ,