HomeMy WebLinkAboutWater Meter permit 1/22/07
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
. Date: \..... 'l. 'Z. -o?
Meter(s) Installed At:~i _ ~ ~. ~ C\ v IL-
Name of Owner: Vj~ ~h~:\c..-I\ ..
Address of Owner: _ ~ . V ~J~
Meter(s) Size: .1 I'
.
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
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 2: 1-1/2" require a bypass.
I ~~CDmicx.VALVE.
Signature of Owner or Agent
to the above information.
___________/ iVt (. . a L ~fhc..,)
Print Name of Applicant and Company