HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER DISTRIBUtION
WATER ME'TER PERMIT
(please Print)
. Date: Jj,;ze; /0(( .
I
Meter(s) Installed At: :J Lf 3 ~ . I-lickor y LV
Name of Owner: '1Cw""- f3cA {:fo ,"\ .:::n:r::. .
Address of Owner: Jel'!:> b Hic..J(ory L.1J
Meter(s) Size: .~ILi' '.
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
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. Typical Multi-Uni~ 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 Pennit may be required prior to the instaIlation 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 ca11236-5052.
3. Meters ~ 1-112" require a bypass.
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Meter( s) will be insudled and used according to the above infonnation.
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Print Name of Applicant and Company