HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER DISTRIBUtION
WATER METER PERMIT
(please Print)
. Date:Co I J.- ~ /07
I
Meter(s) InstalIed At:S 7aGj o~ ~
Nameorowner:~~ V0-.~--D~_1 eoO<'1"
Address of Owner: 'S ~ q ... f\.J
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Meter(s) Size: 0\
Meter(s) Use: Check the Use(s) that apply.
Typical New constnJCti>' '. ,Typical Multi-Unit, Multiple Meter
Single Meter on ~ 1IDIIl....1DIVAUIII
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Typical Deduct Meter
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Typical Water Use Only Meter
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Note:' 1. A Plumbing Permit may be required prior to the installation of the issued water
meter(s).
. 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hgme
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-1/2" require a bypass.
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Meter(s) will be insudled and used according to the above information.
OL.&lce~(t)
Print Name of Applicant and Company
AHBi2.. rv- ~ 12-<25'-5 .