HomeMy WebLinkAbout2005-Water Meter
CITY OF OSHKOSHW AtER nrSTRIBlti'ION
WATER METER PERMIT
(PI.....e PriJlt)
, Date: I J. -1'1- c>S'
:Meter(s)lJlStaUedAt: aib W~J..t"'loJ"<l>.,l 01' " U,,,:t- B.
NalDeofO'll'oer: M;d..",e..~+ IJe"e..';\ .Co..h.....-I-....
Address of Owner: IDO N w,,-d "~"l!." 0., Ot;k'j(.<i-, ~,,;~~ 13 ~'I9olf
Meter(s) Size: _ 3/1f"
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter )(
. Typical Mul1i-Unit. Multiple Meter
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Typical Deduct Meter
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Typic:al Water Use Only Meier
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Note:, I. A Plumbing Pennit may be required prior to the installlttion of the issued water
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. 2. All plumbing lDust be conducted by a WISCOnsin Licensed Plumber, except a hgme
owner may perform hislher own plumbing within their single famiIy, owner occupied
home. For inquiries please call 236-5052.
3. Md:eIs:: 1-112" require a bypass. .
Meter(s) will be insttdled and used according to the above information.
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Signature or Owner or Agent
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Print Name of Applicant and Company
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