HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER :DISTRIBl1tlON
WATER ME'TER PERMIT
(please Print)
,Date: \- -,- 0 t..;
Meter(s) Installed At: ~ 4.31 J.h <:.tt-t>{L-VI LtJ
Name of Owner: :r,,....,~,, ))~N l ~
Address of Owner: .;L\.4 ~ j ~~.~V) l..t->
Meter(s) Size: 51 ",'
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
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. 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 issued water
meter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hQme
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
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--.a CCIImIClL VALVE .
Meter(s) will be instmled and used according to the above information.
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Signature of Owner or Agent
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Print Name of Applicant and Company