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HomeMy WebLinkAboutWater Meter Permit 7/23/07 ---- CITY OF OSHKOSH WATER DiSTRIBUTION WATER METER PERMIT (Please PriDt) D t. 7- 2-3'~C17 . a e. :Meter(s)InstaDedAt: 3/{,c> Bt\.J~y C.le Name of Owner: iZ""-.;cL. 1Io."'tt!5:, L/.<.. Address of Owner: - Meter(s) Size: "3 /y '1 Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter / . Typical Mu1ti-U~ Multiple Meter ........,.,.......... '''i ... 1 . tr'...-m .......,- .....- / __ - tfl'fm!K1llXA1I'DfWll..V'lE!i . ~~~y.. w ~. ~ {..... '.TO ~aNIn'M'f_ .....lI!IIB.IlIlIlII~-- - L"eaJ~ 1 Typical Water Use Only Meter ilII!'WiRllIICUTD'lIlVllUU ~~ -~ -~"I8U!IE ~ Typical Deduct Meter .,'SAlfl/'fMW ~t:::m.1il~ {l~_TG ~ ~AfiY~ ~VifiII!fC . ~WIID u .~ t ~ 1iIII&.I:IIII8~YA&.va _ "U /. ~ iEDI!It'U\~VAUdD 1iiliiILDIiIilI=--'UUllE I Note:. 1. A Plumbing Permit may be required prior to the instaIIation of the issued water meter( s). . 2. All plumbing must be conducted by a Wisconsin Licensed Plumber~ excepta ~me owner may perfonn hislher own plumbing within their single family~owner occupied home. For inquiries please call 236-5052. 3. Meters.2;: i-112ft require a bypass. Meter(s) will be insUdled and used according to the above information. 0~ L....1cS;>,<,L~ 5BSPt"..L"3 Signature Df ~ or Agent Print Name of Applicant and Company