HomeMy WebLinkAboutWater Meter Permit 4/4/00
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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
Date: 1/ - '1- 00
Meter(s) Installed At: J.. 'i fu~ 8/(( ke LOt.<...... f-
Name of Owner: 'flt'd4Jt-$ f f{.,...." (Of q I- LV {'S(e'lA('}.,
Address of Owner: roo fJffl/"tt? w(~5f~Q(J{""- tl;"". $"I.'{r 8 tJ$< kgd
Meter(s) Size: 1/" ..
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction V
Single Meter
Typical Multi-Unit, Multiple Meter
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.4 MUDlISCXA1IDN VALVa
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Typical Deduct Meter
NO UMIrM't
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Typical Water Use Only Meter
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~CCIfI1tCIL VALVE
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 home
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-1/2" require a bypass.
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Meter(s) will be installed and used according to the above information.
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Signature of Owner or Agent Print Name of Ap . cant and Company
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