HomeMy WebLinkAbout2004-Water Meter
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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
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Name of OWn...: U~t:.~A~~fJ.: ~I ~....~ ~:
A.ddresso~owne~ ...P-----~I:-"'!' _____(J~II;:.,I sy9'~ r""t! II
Meter(s) SIZe: - - -- --
Meter.(s} Use: Check the U15e(s} that p:pply.
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Typical New Construction
Single Meter (
Typical Multi-Unit, Multiple Meter
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Typical W mer Use Only Meter
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Typical Deduct Meter
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Note: 1; A Plumbing Petn'.tit may he required prior to tb.e instaUation of the issued wa.ter
meter(s).
2. An plumbing 1nust be conducted. by a Wisconsin Licensed Plumber, exeept a home
owner may perform hislher ovm. pluxpb!ng within their 'Sing!e family) owner occupied
home.:. For inquiries please call 236-5052.
3. Meters ~ 1-l/2" require a bypass.
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M..."s) w;1I b. inst>llod end 'USed ...o~ to the ..bove I."I1lllI!l"';o J I
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Signature of O'lllr'ner or Agent