HomeMy WebLinkAboutWater Meter Permit (2)
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
. Date: q, ('i (o,
Meter(s) Installed At: J,S ~ 0 O~"'" ~ ('"
Name of Owner: DW'I"'~ \ (',-\..,,\ ~ ~...:-+.
Address of Owner: .20' 0 J)\<<."'-~.", ~
Meter(s) Size: \ 'Ie... .,
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
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 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 call 236-5052.
3. Meters 2: 1-1/2" require a bypass.
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Meter(s) will be instXlled and used according to the above information.
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Print Name of Applicant and Company
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Signature of Owner or Agent