HomeMy WebLinkAboutWater Meter - 07/21/2006
CITY OF OSHKOSH WAtER DISTRIBUtION
WATER ME.TER PERMIT
(please Priat)
. Date: '7 J '2/10(.
.Meter(s) Installed At: Z '7 5 fJ
Name of Owner: D> t.:;>w I.J 7-
Address of Owner: . 1 Cj '-II
Meter(s) Size: '>~L/ I. ..
Meter(s) Use: Check the Use(s) that apply"
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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 maybe 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?: 1-1/2" require a bypass.
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Meter(s) will be insta'Iled and used according to the above information.
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Signature of Owner or Agent
&-12 (? I- S c l-:l-rtlf:rr. Fd- ...$ P t...{2, 6-.
Print Name of Applicant and Company