HomeMy WebLinkAbout2004-Water Meter
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CITY OF OSHKOSH WATER DISTRIBUTION
WATER l\1ETER PERMIT
(please Priut)
!>ate: s: l.t> I..
Meter(s) Installed At: ,;;~ , t../y a L~..~./ 4 n
Name of Owner: ,r/-cL,.r1 ~,.~ .c"~I~_
Address of Owner: ~ A1 t'.J"",..IL.:N /.J/l s-.... r', d
Meter(s) Size: :..- 1"_
Meter('l} Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter
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Typical Multi-Unit" Multiple Meter
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T~....pjcal Deduct Meter
ICI $UlR'NI\'
aM!JI!D~ 1/11 ""-'PO
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Typical Water Use Only Meter. _
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Note; 1 ~ A Plwn.bing Permit may be required prior to the installation of the issued Water
rneter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a home
OWner may perfonn hislher own plurpbing within their single family, owner Occupied
home. For inquiries please call 236-5052.
3. Meters == 1-112" require a bypass.
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Metet'(s) will be installed and used accordi~he above infonnation.
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. Signature of Owner or Agent