HomeMy WebLinkAboutWater Meter - 01/04/2007
CITY OF OSHKOSH WATER ])ISTRIButION
WATER METER PERMIT
(please Print)
. Date: I /~ / tJ :J
'Meter(s) Installed At: :2. I"1Cf ~ 11 ))../ g-rLVA . ~I
Name of Owner: D ~ tv LSr. .I..J.-~'H l3J
Address ofOwner:~ ( CJ Lj J f!:, 1":f1$C ,.-/ So }-,. I c"..s. If fl //~J.lj f.,{.,;-/
Meter(s) Size: '::'/Li I. ' /
Meter(s) Use: Check the Use(s) that apply.
'5'-11~)
Typical New Construction V
Single Meter
. 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 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.
Meter(s) will be insudled and used according to the above information.
p..~.-d--y _~ &-/L g'/r
Signature of Owner or Agent
$c I-J-ftl or . . f If \ . P L n C
Print Name of Applicant and Company