HomeMy WebLinkAbout2005-Water Meter
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CITY OF OSHKOSH WAtER n1STRIButION
WATER METER PERMIT
(Pl-Prmt)
. Date: JJ. JJf- oS'
:Meter(s)I1nstanedAt: J..16. Wylal-c.Io.I".,<>!. 0". .' u",; ~ c...
N.ameofOwner: lVIiel.....~'l.+ ve",,-,':\ 'Co~h...c.""'"
Address ofOwher: JDO N w...H...ve-" Df", osk~~d... ~,,:+_ l3 S'/9o'i
Meter(s) Size: . 3/.,,"
Meter(s) Use: Check the Use(s) .that apply.
Typical New Con.strllcti:on
Single Meter )(
. Typical Multi-Unit. MJJitiple Meter
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Typical Deduct Meter
110_
'IBIIIJt r -1"01 -nil ...
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Typical Water Use Only Meter
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Note:' 1. A IPlwnbing Permit may be required prior to the instaIlation of the issued water
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. 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hQme
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please caJI236-S052.
3. Meters:: ]-1/2" require a bypass.
Meter(s) will be insmUed and used according to the above information.
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--r"Signature of Owner or Agent Print Name of Applicant and Company
PlJ/ElJ 39\1d
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