HomeMy WebLinkAboutWater Meter - 10/16/2007
CITY OF OSHKOSH WATER DISTRIBUtION
WATER ME"TER PERMIT
(please Print)
" Date: flY) / 6 I C 1)
Meter(s) Installed At: '"4 1'1 '1 tl H })...I &(2 V A
Name of Owner: 1:> l.E'V/ ff)- l-J--~ H l3'')
Address of Owner: I q 1..11 (3 G t$"C 1-1 .> Tf2 ~/
Meter(s) Size: >,(L," -
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter
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. 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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_____ IIBI.1t lIlu'ao. VALVIS
aa:.G C3IIr'.Q. VALVI
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 hgme
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.
Meter(s) will be insurlled and. used according to the above information.
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Print Name of Applicant. and Company
Signature of Owner or Agent