HomeMy WebLinkAboutWater Meter - 06/01/2007
CITY OF OSHKOSH WATER DlSTRIBUTION
WATER METER PERMIT
(please PriDt)
, Date: I;, / I / c' '7
:Meter(s) Installed At: 2- '7 ~ '1 t1 ) AJ 'tJSiL vA
Name of Owner: D G"S tv [.S'"' T 1-/-0- H I.JJ:)
Address ofOwn~ I.,; '-II 73:> lS17cl...j S7f2crrfr
Meter(s) Size: V4
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
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 I
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Note:' 1. A Plumbing Pennit may be required prior to the installation of the issued water
meter(s).
, 2. All plumbing must be conducted by a Wisconsin Licensed Plumbe~, except a hQme
owner may perfonn hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
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Meter(s) will be insudled and used according to the above information.
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Signature of Owner or Agent
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Print Name of Applicant I and Company