HomeMy WebLinkAboutWATER METER
CITY OF OSHKOSH WATER DISTRIBDtION
WATER METER PERMIT
(please Print)
Date: 1-(, - 0 (P
Meter(s) Installed At. - [0 vJ .eS1- M Uk" d D(".J:=-
Name of Owner: AsSocla+e.dbtU'\~ .
Address of Owner: _ Sd.tY\.e.. <t S Q bo lie...
Meter(s) Size:_l'\
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single 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:' 1. A Plumbing Permit may be required prior to the installation oftbe issued water
meter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hQme
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-112" require a bypass.
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Meter(s) will,be ins~le9l!?d used according to the above information.
71t/Cl bL-!-H1!h- j/u~1h4n fl1ech~ ..
Signature of Owner or Agent Print Name of Applicant and Company
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