HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER DISTRIBUtION
WATER METER PERMIT
(please Print)
. Date: ~ -;J ,... 6> '2-
Meter(s) Installed At: ,.2/.:5-:1 #IC/~o",e V L..A/
Name of Owner: I/P/?/'/ /'P~Gt5-.,e s:
Address of Owner: _ Pl./~"':,..l /-//t"K.o...eV ~
Meter(s) Size:.Y/~. ...~, .
Meter(s) Use: Check the Use(s) that apply.
Typical New construction........r-- .
. Single Meter ~
. Typical Multi-Unit, Multiple Meter
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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 iss\led 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.
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7' Signature orOwner or Agent Print Name of Applicant and Company