HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
. Date: -1 (rJ( 0 /
d. If ( )
Meter(s) Installed At:
Name of Owner: P"If\ Co1i4{
Address of Owner: ~_<.("3 i \ti c. ((0 ,'-'-/
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Meter(s) Size: )( l:(
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction . ..J;.---
Single Meter ~
. Typical Multi-Unit, Multiple Meter
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Typical Deduct Meter
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'8WI!R CalC!"" ....... 11'_10
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Typical Wa~er 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 ~ 1-1/2" require a bypass.
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Meter(s) will be insurlled and used according to the above information. .
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S \. gnature of Owner or Agent Print Name of Applicant and Company ~~J(') if,' r~ .;
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