HomeMy WebLinkAboutWater Meter (WATER ONLY)
CITY OF OSHKOSH W ATERD18TRIBDtl0N
WATER METER PERMIT
(please PriDt)
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. Date: /-/3-05/
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Meter(s) Installed At: ~ Y ..,.L4.4:( t""
Name or Owner: ~ -.~"rkr. .
Address or Owner: '/ CJ "J""" :; ~
Meter(s) Size: . l . .
Meter(s) Use: Cbeck 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
110 UMrIll't
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Typical Water Use Only Meter
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Note: . I. 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.
I ~""CDmICLYALVE .
Meter( s) will be insUdled and us according to the above information.
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Print Name of Applicant and Co
Signatureof Owner or Agent