HomeMy WebLinkAboutWater Meter Permit 10/14/06
CITY OF OSHKOSH WATER DISTRIBUTION
WATER ME"TER PERMIT
(please Print)
, Date: (6/ it.( /0<:..
"Meter(s) Installed At: 3/60 i3o~ l,ryt cf /
Name of Owner: K'-<-SC.t1 /-10.""'1'.- {{c "
Address of Owner:
Meter(s) Size: "-:;/'-/ L(
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter V
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. Typical Multi-Unit, Multiple Meter
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~ - MalllIIGLA....VM.VII .
~ -.DIIIlI c::aemlCL VAUI'I
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~ 1AIft.urr.....
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Typical Deduct Meter
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AU.DWI!D 1MI1'.urr_
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 2: 1-112" require a bypass.
, ~__CCIImIClLYAl.VE .
'11 be insta:lled and used according to the above information.
, ,) ,/' ' (" S' D I
L ~Vlc''''''-' J, r- eCk~ tJ 5 r tk
r or Agent Print Name of Applicant and Com any
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