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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WAtER DiSTRI.8uTION WATER METER PERMIT (Please Print) . Date: /O-:;)5-cJ7 Meter(s) Installed ~:J~05 0 ::so""'^' f{\oo 'f'e 1>'(' Name of Owner: . w.>t..V\ Bo~ . t:Z:~ :~n~ ~ 0 tel< 11:),3 CJ ""'rl1.1 .. \M:>: 5'i'l "3 -0 ~ d.'3 Meter(s) Use: Check the Use(s) that ~pply. Typilial::;.~ X . TYP:::.~~tipIeMeter . 'i ... _ IfIJIEl'D ......-~1llI!!lM'!J1 )' __ -1lIIEIlIR~VAUID . ____.......:=sma.wa.w ~. ~ IItm-.,.-m ~ ......1IID'Il!ft ~.._~VAI!E Typical Deduct Meter 1IlCll~ _0==1...... ~ bv V_TO .. fIIiI'III!fAII'_ Typical Water Use Only Meter __~IlIAr,lrB ~~ -~ -~...... aw:MlI!D ~AGlIl!,"" . /IUIImIAIIr.... tJl I~~~' VALVlI! _ ~ "/:. 1lEl'ER1lJO"~-~ ~__c::acr_v&W Note: . 1. A Plumbi.."1g Permit may be required prior to the installation of the . issued water mete~~. . . 2. All plmnbing 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-?052. 3. Meters;;:: 1-112" require a bypass. . e iI1sUdled and used according to the above information. _ W1 BrcMt"l . 5tS t!v-W)k~ Print Name of Applicant and Company V -'-