HomeMy WebLinkAboutWater Meter
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CITY OF OSHKOSH WAtER DI'sTRIBtrrlON
WATER METER PERMIT
(Please PriDt)
Date: Ik/.dt/
Meter(s; Installed At: .y'~t ~~rr(J /~/!.
. NameofOwoer: ~~~".1 /J~r:'A/ au / .
Address o~ Owner: . /0(; ~ ~~a ~'c: ~ :dl ~ ~
Meter(s) SIZe: . JJ~ _ __ . __.. --..:. _ _
Meter(s) Use: Check the Use(s) that ~pply.
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Typical New ConstTuction L
Single Meter
. Typical Multi-Un:n. Multiple Meter
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Typical Deduct Meter
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Typical Wa&:r Use Only Meter
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Note: . 1. A Plum.bing Pennit may be required prior 10 the instaI1ation of~ issued water
meter(s). .
. 2. All plumbing must be conducted. by a Wisconsin Licensed Plumber, except a hqme
owner may perform hislher own pll.lmbing within their single family, owner occupied
home. Por inquiries please call 236-5052.
3. Metel"$ ~ 1..112" require a bypass.
Meter(s) wil be instzIled and used according to the above information.
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Print Name of Applicant and Company