HomeMy WebLinkAboutWater Meter Permit
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cITY OF osIIi<:OSH W ATERnisTlUBtrtl0N
WATER METER PERJ.WT
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N5I\m~ of Owner:_ .ifJ~~u~~ 4u.~i .Alp.. ~ llz . - ~
Add..... of o-erj&' :lll' f.i;)~".I'- - f:'.1 IJ", ,~A,;.If s-I/ 'Iii
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M~tell'(s) 'Use: Check tine U5e(.~) tl\Ml\t mpply.
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Typ:iul New ConstrUction
Single Meter ...--K---
. Typical MWti-U~t, Multiple Met~X"
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Typical Deduct Meter
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Typncal Water Use (limy Meter
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Note:' 1. A plumbing Permit may be required prior to the iltlsta.n~ation ofilie issued water
meter(s). '
. 2. AU plumbing must be'conducted by a Wisconsbll LAc.OO$ed Plumber, &'\xcept a lnQme
owner may p~rfoxm his/h~r ml\lD plumbing Vo'itbin their si,ngle family, owner occupied
home. For inquiries please can 236-5052.
3. Meters ~ 1-112" require a bypass.
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~I be instSIle d used accordmg to the .bDve informailDn. 'A/
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Sjgnature of Owuer or Agent Print Name Itt.f Applicmt and Company