HomeMy WebLinkAbout2004-Water Meter
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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(P15$t. Print)
Date: "$'" '" -01 34(,
Meter(s) lnstalled At: ~ ,', ''.:.,:, ~ *~,/ Ii?1J.
Name of O""ner:=d~t" /' ~,wt_..1 e", I
Addnss of Owner: /4''> A!.Jj...bu./~'ov. ~ (.".I~./
Meter(s) Size: 3/~ I'
Meter(s) Use; Check the Use(s) that appJ,.-.
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Typical Multi-Unit, Multrple Meter
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Typical Deduct Metc:t
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Typical Water Use Only Meter
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Note: 1: A Plumbing Pem::dt may be required prior to the installation of the issued water
meter(s).
2. All plumbing must be cond'ucted by a Wisconsin Licensed Plumber1 except a home
OV\lller may perform his/her own pJumbiog within their single family, owner occunied
home. For inquiries please call 236-5052. .
.;. Mete.rs 2= 1-1/2" require a bypass.
ect and used a.c.cording to the above i -Formation.
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Signature of O~er or Agent