HomeMy WebLinkAboutWater Meter Permit 4/27/07
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CITY OF OSHKOSH WATER DiSTRIBUTION
WATER ME.TER PERMIT
(please Print)
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. Date: r/z?~-;
Meter(s) Installed At: S l,D ~A.1L"t1 cr
. Name of Owner: llv,.c..N ll-,>fIA.L.~ .
Address of Owner: . ?.D. ~\) <<..tz. ~ ("'J'I"\t\.b w\ c::;::qq(", ~
Meter(s) Size: $/411
Meter(s) Use: Check the Use(s) that apply.
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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 hQme
owner may perform hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-1/2" require a bypass.
Meter(s) will be insurtled and used according to the above information.
l-A:Nool\J SPR.EL~ -- C' . S P / aJ}
Print Name of Applicant and Company