HomeMy WebLinkAboutWater Meter - 06/01/2006
CITY OF OSHKOSH WATER DISTRIBUTION
WATER ME.TER PERMIT
(please Print)
. Date: 6' - 1- t)/:1
"Meter(s) Installed At: Z~O~ 5~~~
Name of Owner:~t?tck. "~A ~ )
Address of Owner: Cl'M AM(1)!,~,,,^.... l\r-.
Meter(s) Size: Iii.
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
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:' 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 call236-5052.
1 3. Meters 2: 1-112" require a bypass,
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Meter(s) will be inst:mled and used according to the above information.
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Signature of Owner or Agent
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Print Name of Applicant and ompany
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