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HomeMy WebLinkAboutWater Meter Permit , , c IY -. crrv OF OSHKOSH Vi ATER IliSmIB1ITION W A~rF~R M:E~'TER ~PERJVIIT (J~IIm~'\1ta Jl?'~Ill\fl:) , 'Ddre:~_~Juj.1--'- I ~' ("" , ~"'I// ,,~ /L /p" v.M,v.13 . M,e1l:~ll.'(l'l\) InJl$tJ1\URRid ,M:::, _.J.z,_..ej~_..lq~c.....,/..",.'I1--.._~------'----"--"-"'~ N~me llllf' OW!{1lo.~I\":_1& .:JrI~l.JU<,t:l(.,~~tiJd.':.1../! 11....f2.e.l~-,..-,--;-r-._-'_._-.....;;:-{f..--. Add'I'~~ f/1ljf Owrmrelr:e_r...... pw.__dJJluud.-J:.t._.._fl.:(..I/6"2.-,~ .rf...f!~."1t...-...L~.!..._.....'- , Me~:el\"(~) Sii1:II:l;.__...-2,?ii!..-~-_._-~-:...,_..~-,_.._----_'_'- ,-.----:-...-.--.-.'....- M~t!l!ln~). U$C~ C1ln~(d\!;' ,:lln~ l:J~I1.~t(!i) t.A1\:It\t ~1l.lIJP11]r" .~. TypniC~ll-:lew C01!lS1t1rilc'ltion .,j Smgl~l Melter ___..A_.__ . Typ~c~ Xvl1ll1ltii,..tJl~ti., Mlul1t.~ple Meter .---- ~~'IlJII~'IfIM,~~tn . ~'" ft'l", '---,..,....f'l~ - ~..,}.'~ n.-tir~ .~,.'". ..~ ..... ......;!!.... "'Oii!EJ"~-"""~ ' , ~~~, " .._~-.p.. ~~~~ ,.~~1;..11~"'-- " ~'\lI!3 ~..~,4\~~1 -.'1- .. . """"'_____"~\IIIltMA.'IfIlI'lIlW~ . .----_""~~tm.W.4lll.Jl\t\ :.<<-~1IdiIIIIIO"1~t.f~ Typic~l Deduct Mf.l~:er ------,., ~~/ilAIim' ~~ .%,~ " IIN"(I"""'" '1I"'""~~TIl'ml'\''''''' .A....~rwl'{l1fltl\llllmMltnfll~tpllW'"fl'I"'M<T/.f1WW,'llf1J"I~"'V...~~11 TYP'n~IIl\R 'JVI~tcx' Use Only Mr.11:t'lf ._..."--......~ AI\fIlIl1I!IW1Rm:U11'ir.IIII!l1lfA\ll~ ~--...--.."~ E~~----'~' . ~~~~,........".,,;,... a'tB'i'....."l.....,.,. . . ..-....IIIRIm,IOtI~~~. , ~T1.2 ~/Wl'r.'tlil!IBllII\!1I " t ~ ~~- ~!9lll<<!_ R'A'"II\\''''Im'f'~ ~~~ ~~~M iMlJft'\'lII\Il!! ", f-""'" .'. /' "' . " -:::---~-:~li~W/0\9A1~n ---- \1Ill~~m.'lfo'l!l.'IJ',41 'Note:. 1. A Phnmhiing r.~jt mfllY b~~ K'e,~u~li'ed prior to ..he instalbuon ()f tbe: issued \l11al,tcr roer.er(s), ,.. AaJ plllmb~Jr~g m~.\st be c!)nducted by a Wis.C()rlS~n Jf..nce~s~d JNumbe:r~ tt',xcefJt 9. h91fll'Ae own~i' may PQrforna his/her 10'111/10 plumbing 'WitbJII) their ~i~ngle mmiUy, O"l1\nrAor occ.upied home. F(lT inquiries please l~an 236--5052. 3. Meters ~ .1 ~ 11"1." require a bypl~s. Me.ter(s) 'will be insi:at'Hcd and usr.:d accol'cHlIJg to. t.he above h'llforlOO:mnn. . ~____~(-L42!6'{.~~/..~ / Sll1;naiure o'f' OW!i'1(!Ji' or Agent Print :NoliIme nf' AppHcoIllnt and CornpnlllY