HomeMy WebLinkAboutWater meter permit 7/24/06
CITY OF OSHKOSH WATER DISTRIBUtION
WATER ME.TER PERMIT
(please Print)
. Date: 7-).1-1- Db'
Meter(s) Installed At: ) D.6:2. .& ; $' h-t A r:.ck iJue
. Name of Owner: De-I 7'" "'ff-
Address of Owner: . 511 hi- -e
Meter(s) Size: ?/r-
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 of the issued water
meter(s).
. 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hgme
owner may perform hiSJber own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
I ~-.a.oCDmICLYALvE
Meter(s) will be insUdled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company