HomeMy WebLinkAbout2005-Water Meter
CITY OF OSHKOSH W ÁTER niŠTRIBUtioN
WATER METER PERl\.fiT
(l'Je:ue Priut)
,Date: JJ.-jJ{-p,S'
:Meter(s)InstIalledAt: J..ib Wi/clot. (,J/!)o,J.. (}". "
NalPeefOwner: Mid...a...+ ().~"....";l 'Co~h...c.""'"
Address of Owner: !Oo JJ W...d"..."~,, D/". O Õ¡.~.<¡"
Meter(s) Size: 31<1'" ,
Meter(s) Use: cheek the Use(s) ,that apply.
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Typical New Construction
Single Meter
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. Typical Mul1i-Unit. Multiple Meter -
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Typical Water Use Only Meter
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Typical Deduct Meter
810-
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Note:' 1. A Plnmbing Permit may be required prior to the insta.I1ation of the. issued water
meter(s). ' ,
, 2. All plumbing must be conducted by a Wisconsin Licensed Plwnber, except a hQme
owner may perform hislher own plumbing within their single family, owner occupied
home. For inquíries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
Meter(s) will be insUlled and used according to the above information.
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Signature of Owner or Agent
1",,~ Hbf.¥\ '/JJq'¡¡'<I$ ~\.."",b;1\ 1..<:. .
Print Name of Applicant aDd Company
P0n0 39\1d
9NHIWnld ~311\1M
E1a-EEL-0C:5
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