HomeMy WebLinkAbout2004-Water Meter
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CITY ,OF OsHKOSH wATER nrStRIBtrtloN
WATER METER PERMIT
(l"leue PriDt)
,Date: j;~1 '1
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~Meter(5) Installed At: lis (, f! $.19 4./
. Name OrOwDer: ~~'i:I/ .(l;",,,~,,/ n~~;l(rI.:--;
Address or Owner: -d"" AI ~J'/~"'-Cw..o1'l of,lA1"L'
Meter(s) Size: .:':l I. U . . ~
Meter(s) Use: c1ieck the Use(s) that apply.
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Typical New Construction J
Single Meter f6...
. 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: . J. A Plumbing Permit may be required prior to the instalIation of the issued Water
meter(s). .
. 2. All plumbing mUSt be conducted by a Wisconsin Licensed Plumbert except a bQme
owner m.ay perform hislher own plumbing within their single family, owner occupied
home. For inquiries please eaIl236-50S2.
3. MetCIS~.1-1I2" require a bypass.
Meter(s) will be insttlled and used according to the above infonna'tion.
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igriature of Owner or Agent Print Name of Applicant and Company