HomeMy WebLinkAbout2004-Water Meter
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CITY'OF .OSHKOSH W ATE~ DlstR.IBl1'i1oN
WATER ME'TER PERMIT
(PI.... PriDt)
,Date: 9.;/.'-1
:Meter(s) Inst:aUed At~~",/~~_ ~_~*~ ~
. Name of Owner: 1;'~ - -(.g~~
AddressOf'OWDer:~, .A' . ___'_ /1
Meter(s) Size: ::1 y !' , ..... _, . .
~eter(s) Use: Q'ede. tbe Use(s) tlaat apply.
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Typical New Const:ruction .
Single Meter ,X .
. Typical Multi-Unit, Multiple Meter
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TypicaJ Deduct Meter
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Typical WtMr Use Only Meter
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Note:. 1. A Plumbing Permit may be required prior 10 the installation oftbe issued water
mcter(s). .
. 2. All plumbing must be eondueted by a Wisconsin Licensed Plumber, except a h~me
owner may perfonn hislher own plumbing within their single fiunily, owner occupied
bome. For inquiries please call 236-5052.
3. Meters:;: )-112" require a bypass.
Meter(s) will in.strIled and used according to the above inform~ .
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Signarure of Owner or Agent Print Naxne of Applicant and Company