HomeMy WebLinkAboutWater Meter - 04/11/2007
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CITY OF OSHKOSH WATER DISTRIBDtION
WATER ME.TER PERMIT
(please Print)
. Date: "-/ //1 I [" '7
Meter(s) Installed At: I f( "/ '1 ;; IIIJ':lUi"")AfJ
Name of Owner: 5 1-1.r'!lw,-~.AS t.,s" C Ut:,.,,,"'"1
Address of Owner: 2 '1.s S" A L [- ,,' 11 ,A I) t (..I D)
Meter(s) Size: ') j...., (,
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter
. Typical Multi-Unit, Multiple Meter
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Typical Deduct Met~r
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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 ~ater
meter(s).
. 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hQrne
owner may perform 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.
Meter(s) will be insta:lled and used according to the above information, .
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Signature of Owner or Agent
5. C i-f H I/JT' (> J.') ,0 L & &-/
Print Name of Applicant and Company
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