HomeMy WebLinkAboutWater meter permit
:Meter(lI) Installed At: ? :3' 5'-
Name 01 Owner: ~1'~Ff'I;:
Address of Owner: ? .Y ~ .I. / ... ~""l
Meter(s) Size: . . "S,(' if
Meter(s) l,Jae: Check tbe Ule(s) that ~pp)y.
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CITY OF OSHKOSH WATER DISTRIBUTION
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WATER METER PERMIT
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(pleue Print) I
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HANSEN PLMG INC
~002
V.LI UOI "::VVIj .LO::: "J I'AX 9207575807
. Date: ~-:.;.. 'i ~O ?
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Typical New Construction
Single Meter
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. Typical Multi..Unit, Multiple I Meter
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Typical Water Use Only M~r
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Note;' I, A Plumbing Pennit may be required prior to the installation of~ issued water
meter(s). . . . I
. 2. All plumbing must be conducted by a Wisconsin Licensed Plum~er, except a hQme
owner may perfonn hislher own plumbing witlUn their single rathily, owner occupied
home. For inquiries please call 236-5052. I
3. Meters 2: 1..112" require a bypass. I
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s) will be instaUe and used according to the above information. I
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Print Name of Applicaht
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Typical Deduct Meter
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Signature 0 Owner or Agent