HomeMy WebLinkAboutWater meter permit 4/18/06
CITY OF OSHKOSH W ÁTER DIĊĦTRIBUTIÙN
WATER METER PERMIT
(please Print)
Date: ¥~ ;('-0
Meter(s) Installed At: //0 4~., Lt..)!
Name of Owner: ,,( v-c ; '.. Á U.~.e....
Address of Owner. !/ø J(~I;I.-f
Meter(s) Size: . I'"
Meter(s) '(Jse: Check the Use(s) that apply.
Typical Ne.w Construction ......-?
Single Meter ~
, Typical Multi-Unit, Multiple Meter -
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--- _AllY-
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_--_VALVE
Typical Deduct Meter
110_"",,,
--
--
Typical Water Use Only Meter
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110 --
--
..........
. L. M~.
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Note:. I. A Plumbing Pem1Ít 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.
led and used according to the above information.
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Print Name of Applicant and Company
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