HomeMy WebLinkAboutWater meter permit
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HAN';,UN:, IJUAL 11 y t-'UJM
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CITYOFOSHKOSHWATERD~~UTION
WATER l\t1ETER PERMIT
(Piwel'riDt)
Data:.r/1< 4'o't.:_
Meter(s) blstAIIed At:
Name of Owner.
Addreu. or <h'n$er:
Meter(s) Size:
Meter(s) Use: Check the U!le(s) that apply.
Typical New Construction
Single Meter
Typical Multi-Unit, Multiple Meter 4-
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TyPical Deduct Meter
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TyPical Water Use Only M~ .......
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Note: 1. A Plumbing Pennit may be required prior to the irma.ilation of the is~d water
meter(s).
2. All plumbing must be conducted. by a Wisconsin Licensed Plumber. except a home.
owner may perf0r:a4 hislher own plumbing within their single family. owner occupied
home. For inquiries please call 236-5052.
3. MeterS ~ 1-112" require a bypass.
Meter(s) will be imt;dled. and used. according to the above infolllllUion.
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Signa.tw:e or Owner or Agent
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Print NIiZUC of Applicant and COmpany 11",;n.bJ::s ifA:.
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