HomeMy WebLinkAbout2004-Water Meter
11/22/2604 23:~~
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CITY OF OSHKOSH WATER DlStRIBlITloN
'.' WATERMETERPERMIT
(please Prillt)
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Meter(s) JDstaIIed,At, _. .p~. : _ <..,..,/
NameofChnlor: :.1 ~'
Address ofOwuer: iJ'" - d ~;:?j;vu., ~1t nfJ14.L'
Meter(s) Size: . ~l_ q - . -
~eter($) Use: Check the Use(s) that apply.
Typical New Construction J
Single Meter (1"..
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. Typical Multi-U~4 Multiple Meter ,
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Typical Dedut:t Meter
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Typic:aJ Wati';r Use Only Meter ...-
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Note:. 1. A Plumbing Permit may b~ required prior to the installation oftb.e issued water
tneter(s). .
, 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hQme
owner may perform hislher own plwnbing within their single fmnily, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ .1-1/2 h require a bypass.
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Meter(s) will b~ i.nsm1led d used according to the above infonnation.
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ignature of Owner or Agent Print Name of Applicant and Company