HomeMy WebLinkAboutWater Meter - 07/12/2006
CITY OF OSHKOSH WATER DISTRIBUtION
WATER ME.TER PERMIT
(please Print)
. Date: 07//tJ/ofo
Meter(s) Installed At: / 't 1'3 5' ..r /f/1 f> Se>N 5'7
Name of Owner: S flo.vc~s.e 1../0.1,., ~ 5
Address of Owner: d7SC::: AL (:,o.A/'l;C) 'KLt//).
Meter(s) Size: 3-1'i
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction ,/
Single Meter L
. 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 of the issued water
meter(s).
. 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hgme
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 instxIled and used according to the above infonnation.
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Signature of Owner or Agent
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Print Name of Applicant and Company