HomeMy WebLinkAboutWater Meter Permit 8/20/03
CITY OF OSHKOSH WATER DISTRIBUtION
WATER METER PERMIT
(please PriDt)
. Date: Y (2&7/ C ~
Meter(s) Installed At: 2..! '1 At-' e-~ Ave-
Name of Owner: ..s H t/U/ C Jj i L-F c wJ rr pM J.I &/J.'1.I:i}-~
Address of Owner: 2. '7 S ~ A L ~ HAP.:. L vf} ,
Meter(s) Size: "3...1.Li"
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
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. 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:' 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 hQme
owner may perfonn his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-1/2" require a bypass.
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Meter(s) will be insttlled and used according to the above information.
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Signature of Owner or Agent
5 c /..J 17 I n .,- pJ. 5 fJ I.. 6 C.
Print Name of Applicant and Company