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HomeMy WebLinkAbout2004-Water Meter ~~/~~/2~~4 ~3:5~ 92~-733-2713 WATTERS PLUMBING PAGE e3/04 CITY: OF ..OSHKOSH WAtER DISTRIBUtION WATER METER PERMIT, (PIease'rieO ,Date: 9.3r.Jr.! :MeI<t'(s) IDStIlIled AI: ,:J,r tJ ~ ~;/;.:e' , " . Name of OWller: . . ". ~;, ~ / " ,AddressofOwner: ~~,':,t.~, . ~ d./hfl w1 .rs'f'~ Meter(s) Size: ',.,4 I . ' ~eter(s) t;1se: Old the Use(.) that ~pply. rypi~al New ConstrUCtion. Single Meter 'i.. . Typigal MuJti..UD:it, Multiple Meter --............ , , '" ~' ~t 'IlI""'_ .",....-. .......,..... _If__ ...,---........... _/ ~ .,..1IIIIIA1IiIIf...... . . ----__ramaWMft ~~=---- Typical Deduct Meter _1IIIMb8r -- .-- MUIIIIB . L_ .. Typical Water Use Only Meter - P'"~ _I PIlI'" .. ---- , .......--- ~.- s:-'- 1= ;" " ~, ~~ I ~__~...._ . .. )':, -.............. MU. ~~"MMD --~VM.WI Note: ' 1. A Plumbing Permit may be required prior to the insta.11arion of the issued water meter(s). . 2. AD p1umbins must be conducted by a Wisconsin Licensed Plumber, except a hQJ1'le owner may perform hislher own plumbing within lhcir single family, owner occupied bome. For inquiries please: call 236-5052. 3. Meters ~ 1-112" require a bypass. ' Meter(s) will be inst.1ile~ ~rding to the a~~on.. ' . /7/ / - ~ .; ~r d ,/4,;-'1" 19nature of Owner or Agent Print Name of Applicant and Company