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HomeMy WebLinkAboutWater Meter Permit 7/23/07 CITY OF OSHKOSH WAtER DlsTRIlil1tION WATER METER PERMIT (Please Print) . Date: ? /?:- 3/CY1 :Meter(s) Installed At: '3/IS Btdc.y c.f< Name of Owner: Kt....'ScL. H~es 1.l.C- . Address of Owner: - Meter(s) Size: :IIi/lot Meter(s) Use: all~ck the Use(s) that apply. TYPicals~:;eConstructiMeter . on ../1. . Typical Multi-Unit, Multiple Meter ~ I ........-..... -" -.. ......... IfRAIO .....-......... )' -- -........,.,..-- - . ~.....CDIIIIII:lLVJUI ~( . '.-.Qno ~ ............ 'Jr"'~ .~-- Typical Deduct Meter NDauII1'ARJ' _l)lIlIVP" I.,." 1'1IlIlR1D ;AU.DWI!D ......M'F_ Typical Water Use Only Meter ....IICU'I'IIWWUIlI ~~ IIIOSIl!lIIII'Mn' -_.~. lIW3lIlII!D ... ol'lia--..-g:Yi) .' ......,.- 1~ . -'-CCI'ImIla.VAUflf _ / . . .... : . ~ ...-1lGA\i0f4VM.W& _&::8IM1ILWUIlIE Note: . 1. A Plumbing Permit may be required prior to tbeinstallation of the issued water meter(s). - 2. AU plumbing must be conducted by a Wisconsin Licensed Plumber~ except a hQme owner may performbislher own plumbing within their single family~ owner occupied borne. For inquiries please call 236-5052. 3. Meters 2: 1-112" require a bypass. Meter(s) win be insnfIled and used according to the above information. ~ . Signature of Owner ar Agent L.J_. S-,...J...r ..585 i>(~.'"tl' ..... Print Name of Applicant and