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HomeMy WebLinkAboutWater Meter Permit ~, .. CITY OF OSHKOSH WATER nlSTRIBIrttON WATER METER PEIDrfIT (pleufl l'rhllt) . DAte: (,/p l1 · i '!f .cf ~ ~ .. . V#Jlti :1\'1.<(0) IldDUled AI< " -- ": i - Nllllnu'lOfOwner: ~_~ CIolLQII a.~ II~ 0111 . Addrr5."ff)rmr;r;~/21D ~AL sl o.r,(#,4' _~fVy' ~. Met.er(s) Size: . 1 II ' . -=.,- M:eter(~) Ui!ie~ Check the U~e(l) that ~{llP1y. ~. Typical New ConstrUction Single Meter x . Typica1l Mu1ti...Um~ l:,flwtiplc Meter ~1IJP,A,..~1 . ~ _:. 4'" ". I.-A.~-m ~~~ -I. ....- ..,._lu,ml'llllV.wIR' . ~~~y~ ~~ " , ~'In:l ,...- 8Mlr:1l'.-,r.... A-""~~"~ Typical Deduct Meter ., Pid'unt ,~~ ~ : . L_~ ,~r."j\'t.a. '., ........- Typica1l Water Use Only Meter - 1lI!IIlInlft~1t~ ~-----~ .110 "",",oMIlf ~1!IIllI:II$"~ ~ ' ,~w. " &uiII1l"AII!I\f'_ ~ /.. ~ ~':\U.I<~~.u.WIIIlJl .....-~y""'~ .. Note:. 1. A Plumbing Permit may be required prior to tbe installa:lion of the issued water meter(s). . 2. AU plumbing must be conducted by a Wisconsin Licensed PlumbeJr, except Iii h~me o\'l\r'ncr may perform hislher own plumbing within their ~~a:o.gie family, owner occup~ed home. Fer inquiries please call 236~5052. 3. Meters ~ 1~V211 require a bypass. I ~~~\W.~. \ Meter(,) will be insla1Ied ond used accordin& to !be .boY!' moan.don. _ /. . 4~~/ ~, ,/k,I{.,.~0~/dL;Pc . Signature QfOwner or Agent. Print Name !t~f Applicant and Co~npany