HomeMy WebLinkAboutWater meter permit 6/1/06
CITY OF OSHKOSH WATER DISTRIBl.1TION
WATER METER PERMIT
(please Print)
. Date: 6 - / -06
Meter(s) Installed At: 1'Z3~ ~1 S ~ Ut..
Name of Owner: lr.JI'0. k _..... L.j.. ~ ( G e"e..\J
Address of Owner: 5-=? J 11 G "....J e. /\,fAt- k:~t t:>h S ...,1,.. .n
Meter(s) Size: . t 1/
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction r::
Single Meter
. 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:. L 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.
1 3. Meters 2: 1-112" require a bypass.
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Mete:(s) will be instmled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company
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