HomeMy WebLinkAboutWater Meter Permit 4/10/03
CITY OF OSHKOSH WATER DISTRIBOtlON
WATER ME.TER PERMIT
(please Print)
. Date: '/ if (:.' f c' 3>
Meter(s) Installed At: 2 2 3
Name of Owner: 5 H ctL-
Address of Owner: ?- '7 s~c:;;
Meter(s) Size: '3/."LI"
Meter(s) Use: Check the Use(s) that apply.
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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 perform hislher 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 insurlled and used according to the above information.
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Signature of Owner or Agent
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Print Name of Applicant and Company
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