HomeMy WebLinkAbout2004-Water Meter
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CITY OF OSHKOSH W ATER DISTRIBUT~ON
WATER METER PERMIT
(pleas. Print)
Date: f...~ / /. a I
Meter(s) InstaJ.led A.t~
N2.me of Owner:
Addrcss or owner~ :'"
Meter(s) Size: ~
Meter(s) Use: Check the Use(s) that apply.
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Single Meter
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Typical Multi~Unit, MuHiple Meter
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Typical Water Use Only Meter
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Note: 1: A Plwrlbing Permit may be required prior to the i.nstallation ofthe issued water
meter(s).
2. All plumbi:ng must be eonducted by a Wisconsin Licensed Plumber, except a home
owner ma}' perform his/her own plmpbing wi'thin their single family, owner occupied
h.or.ne. For inquiries please can 236-5052.
3. Meters ~ 1-112" require a bypass.
M_C<) will be installed and """"-.J'=Z to tbe above i"jbnnatio';.; J j
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Signa't'Ure of Owner or Agent .