HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER DISTRIBUTION
WATER ME.TER PERMIT
(please Print)
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. Date:' 1.)/25
Meter(s) Installed At: ::S';;;b~T e i.-( P:)
NameofOwD,er: '~fZ~ '.
Address of OWDer: ' . () , 'Wc:.~.e- 5r
Meter(s) Size: ~'i"
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction -L.
Single Meter / -
. Typical Multi-Unit, Multiple Meter
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---- -.-a=-ntCr. VALVE
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Typical Deduct Meter
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8wmt cm=~_ c-< '....TCl
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Typical Water Use Only Meter
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110 MNn'MT
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Note:' I. 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, excepta hQme
owner may perform hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
Meter(s) will be ins~led and used according to the above information.
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Signature of Owner or Agent
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Print Name of Applicant and Company
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