HomeMy WebLinkAbout2004-Water Meter
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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(P1e.sc Print)
Date: f. //.0'; -
Metet(s) mst.Oed At: ~ 'J!:.f1c:'./ /.)Il
Name of Owner: ~:f~/~~:: ~:If'.(~ -
Address of Owner: ~b u! (lrIIAs!
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Meterfs) Size:
,M:eter(s) Use: Cheek the Use(s) that ;ipply.
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l'ypical New Constr.:lction
Single Mete:t'
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Typical Multi-Unit, Multiple Meter
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Typical Deduct Meter
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Typical Water Use Only Meter
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Note: 1 ~ A Phunbing Pen:nit may be required prior to the installa.tion of the issued water
meter(s),
2. Al.1 plumbing must be condu.cted. by a WiscoI"..sin Licensed Phl1nbert except a home
owner may perform hislher owrl plurpb!ng within their single family) o'Wner occupied
home. For inquiries please call 236-S052.
3. Meters ~ 1-1/2" require a bypass.
MoteTCs) ",ill be imrtalled -7"'2 to !h, abo~nnatio';, J ·
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Signature of Owner or Agent .