HomeMy WebLinkAboutWater Meter Permit 8/28/07
CITY OF OSHKOSH WAtER DISTRIBUtION
WATER METER PERMIT
(Please Print)
. Date: ~~ :lc/:;-07
Meter(s)lDstaJIedAt: ~ \ '1 0 ~.\ Ie'} C+.
Name of Owner: ~\r\ \-\omes
Address of Owner: _ . 0 X 4 d.:~ 0/111 ro W):
Meter(s) Size: .::3/~ \1 .
Meter(s) Use: Check the Use(s)that apply.
5Jf96-3"" 0'1J.3
Typical New Construetion
Single Meter
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. Typical Multi-Unit, Multiple Meter
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Typical Deduct Meter
110_
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Typical Water Use Only Meter
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Note: . 1. A Plumbing Pemrlt may be required prior to the installation oftbe issued water
meter(s). ' .
2. All plumbing must be conducted by a WISCOnSin Licensed PJ:mnbcr~ except a bQme
owncrmay perform hisfhcr own pimnbing within their single family~ owner occupied
home. For inquiries please call 236-5052.
3. Meters > 1-112" require a bypass.
Meter(s . be instSfi used according to the above information.
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Signature 0 .Owner or Agent Print Name ofAppJicant and Company