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HomeMy WebLinkAbout2005-Water Meter J"'-Y r ww 'f.L.J WHI I~~~ nLUM~LN~ PAGE !B/El8 . CITY.OF OSHKOSH WAtER l):ISTRrBUl1oN WATER METER PERMIT (PIeue Prillf) D Y-If'.. -'If . ate: __ :Meter(s) Installed At: If? (. tJ~;;1. (,JPa eI Oft Name ofOwDer: ~ C;<#UR! c;.~",,/., Address ofOwller- /,,' AI M,.//Ao/(N ,t?fl,:.,_ fl,r. I/f, Meter(s) Size: . ., /~ '/ Meter(s) Use: Check the Use(s) tbat apply. 4'/VI j ./J tJZ S"~9 ~ Y $'''0 ~l! Typical NeW Construction Single Meter ,'< . Typical Mu1ti-U~t, Multiple Meter .....-IIaIA~ , ~ ... rt:.& r,__ ~---- ~~ .....'ID ~ .........,....... j" ... ~ISOIA_YNJII!I . ~ ..-Cl:IIftJIlOLWIft .---"...,.,,,.... Typical Deduct Meter ..~ --. -".. ~: "113 ....... ............. . A " Typical Water Use Only Meter MmIilIaaA_........ . . +~ lID....... [= ~:. . " . =".1~ --.. ~ .....,-'" , " ~~ I ".....~v...'lIE. / . , ~ .....ll.:r.~.,.... -CBII"~WlLW Note:, 1. A Plumbing Permit may be requited prior to the installation of the issued water me~~~. , 2. AD plumbing must be conducted by a Wisconsin Licensed Plumber, except a h{Jme owner may perform hislhcr own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters ~ 1-11.Z" require a bypass. Meter(s) wil~ be ~USed according to the above information. . 'fi? 7~ ~< ~/C. ~~~.dl 'S. ature of Owner or Agent Print Name of Applicant and Company