HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
Date: ;/ / / '/ I 2 a c; Z
Meter(s) Installed At: 2 2 <; (/ 1-11 C J,\ C/ Tl ~
Name of Owner: G-- ALL (.:rlf#. y 1-1- P t1 Lf<.
Address of Owner: J P 0 12 c/ 1 " J AI I'S- I' ...-n. IT/})..!
Meter(s) Size: ') /L( "
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter V
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 home
owner may perform hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-112" require a bypass.
Meter( s) will be installed 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