HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WAtER DISTRIBDtIoN
WATER METER PERMIT
(please Print)
. Date: I a / I / 0 '7
Meter(s) Installed At: tY L / LIlT L:? l$JJ i/ I 1- L I ~ L-A 'j.J l.:::l
Name of Owner: f) tF l..v LT 'r 1+ c H g- J
Address of Owner: '- cr Lit J3.> 1,:$ bSC 1-1 S. T fLt.Tl?T t? S 17rr~5 f.4 c;cJ 7' C J
Meter(s) Size: :::/'-1 I,
Meter(s) Use: Cbeck the Use(s) that apply.
. .
Typical New Construction
Single Meter V
. Typical Multi-Unit, Multiple Meter
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I 11'_10
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Typical Deduct Meter
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'SIWD DIlICII'_ I L~"TO
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Typical Water Use OnltMeter
1IE1'1!II1ICIU'IDt VALIID
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NO &AMrARY
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AI.I..DWED
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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 ahQme
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-1/2" require a bypass.
Meier(s) will be instailed and used according to the above irlformation.
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Signature of Owner or Agent Print Name of Applicant and Company