HomeMy WebLinkAboutWater meter permit
10/15/2002 08:14
1-=20-730-0898
HA~SONS QUALITY PLUM
PAGE 05
CTIYOFOSHKOSHWATERD~TWrnUTION
WATER METER PERMIT
(please Prmt)
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Addres~ of Ow11~.i.)n \f~l.p ~_ - 6
Metet(s) Size:.., oj\fl;
Metet"(s) UK: Check the Use(s) that apply.
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Typical New Constroction
Single Meter
Typical Multi-Unit, Multiple Meter
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Typical DeductMeter~
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Typical. Water Use Only Meter ~
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Note: 1. A Plumbing Permit may be required prior to the insWlation of the issued water
meter(s).
2. All plumbing must be conducted by a \Visconsin Licensed Plumber, except a home
owner may perform hislher own plumbing V\'ithin their single fimilly, owner occupied
home. For inquiries ple:ue call 236-5052.
3. Meters~ 1-112" require a bypass.
Meter{s) will be insta11ed and used according to the above'
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Signature afOwner or Agent
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Print Name of Applicant ll11d Company
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