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HomeMy WebLinkAbout2004-Water Meter ~~/~~/,~~~ U4~~~ j",U- r::J.;J-,I.L.;) Wf"11 11-1'.".11 I '-'-".''''''.......IO.A CITY OF OSHKOSH WATER DISTRIBUTION WATER l\1ETER PERMIT (Plel\se Print) ~)a1.e.;~j: }-fI ,; Meter(s) Installed At: :;S-" tJ.,. a ~,,~/ /J d Na.me of Owner: ~'/i-"C.I.c..,. 41 ~1l::~J Addres~ o~Owner: [;t. ""Al /.../..".Itl6r'" 4A .~ JI""'/' =d Meter.(s) Sl7.e: _ _ _ Meter(s) Use: Check the Use(s) that a.pply. e;,......I--rI'l1. --- --- =~ - ;?~dr./ s-YPIlt./ -_ Typical New Construction Single Meter K Typical Mulli-Ullit, Multiple Meter IlIQIRlIliOl.A,..,.,VAUIQ "i .~ ~'rCI """AIn'~ t:~~~~~::~ ------ ----~v""Y!: I ~~~ ___ lWIrr,lUW lIDwQ -..-~=-nIaLY.uAll! . Typioal Deduct Meter IIeO &ullTolUr\' --Q~ ~ TypicaJ. Water Use Only Meter tlIf C' ~... TO IWIn"AIn' lIl!'lIIM ""'~V'*l.'" +~ 1: ::: : 1 ~ tIURJ:lWcJ CCIIfnItCt. YAl.Yl!' lID ""AIIlY .....DIIiC::KuIQ,E ~ - j h .~~~_ f ~ ~ =:aIltrIlICIl. YH.\lI: i Note; 1: A Plumbing Permit may be required prior to the installation of the issued wa.ter meter(s). 2. All plumhing must I:le conducted by a Wisconsin Licensed Plumber. except a home owner ma.y perform bislher own p1ll!1Jbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters;;:;. 1-112" require a byp3.Ss. t ~~m"l ~"'TQ lIWrAIW IIW!ft Meter(s) will be installed and USed aceordin~he above infoxmation. - 4-#/ ~,t ~g: ~A6>.~4(:Z;' Signature of Owner o~ Ag-em