HomeMy WebLinkAbout2004-Water Meter
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CITY OF OsHKOSH WAtER DlSTR.IButlbN'
. WATER METER PERMIT
(PlfllISe PriJJ.t)
Date: /,4, /./ . L "is<,. ~ )
'. Meter(s) 1n.stalled At; S :e /./.. ~/
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Meter(s) SIZe: . 'J ';' .
Meter(s) Use: Cbeck tbe Use(s) that apply.
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Typical New Cons11'Uetion J
Single Meter !!!...
. Typical Multi.U~t, Multiple Meter
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/ Typical Deduct Meter
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Typical Wate,r Use Only Meter
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Note:. 1. A Plumbing Permit may be required prior to the installation of the issued water
meter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hQnlc
owner may perfonn his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236~5052. .
3. Metel'S.2: .1-1/2" require a bypass.
Meter(s) will be insttlJed d used according to the above infonnation.
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ign'ature of Owner or Agent Print Name of Applicant and Company