HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER DISTRIBUtION
WATER ME"TER PERMIT 'U l....,..L
(please Print) " ;z,/ ~
"Date: h I J''3/0h
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Meter(s) Installed At: "341/ l-tt' w.LccK t:'J-.
Name of Owner: " & 1= ~Prp Jail t.Jf S ~ L ~,
Address of Owner: ~z.JO 5(3, Of!. 6~ ~ f
Meter(s) Size: " u
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter
. Typical M~tyiut, Multiple Meter
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Typical Deduct Meter
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Typical Water Use Only Meter
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Note:" 1. 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 ~ 1-112" require a bypass.
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Meter(s) will be insurtled and used according to the above information.
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Signature of Owner or Ag . nt Print Name of Applicant and Company