HomeMy WebLinkAboutWater Meter Permit 12/17/07
cIty OF OSHKOSH WA.TERPISTRIBU'tION
'WATER METER PERMIT
(please Print)
, Date:1 )."7l7-d)?
'Meter(s) Installed At: ~,g;,5 0 A TJ..AS' A.I'~ .,
Name of Owner: ~ A '" .Il A~' l, -' 1 CAt: 17f'J n- I ,{).,. I tJ I ,.J~
Address of Owner:_ _ f. ~ _~ lor, 3 lTh ~s- osil\ k i)! .1-
Meter(s) Size: sl.'t
Meter(s) Use: Cbeckthe Use(s) that apply.
Typical New Construction
Single Meter
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. Typical Multi-Unit, Multiple Meter
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Typical Water Use Only Meter
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Note:' 1. A Plumbing pennit maybe required prior tothe inStallation of the issued water
meter(s).
, 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a hQme
, ownermay perfonn hislher own phrinbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2:: 1-112" require a bypass.
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Meter(s)",U be instl<lledandused according to the 'IPove information.
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Signatui-e of Owner or Agent
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Print Name of Applicant and Company
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