HomeMy WebLinkAboutWater Meter Permit 12/07/07
CITY OF OSnOSIIWAtEI{DISTRIBDtlON
WATER ME.TERPERMIT
(pleaSe PriDt)
. Date: !Z./7/ D7
.
Meter(s) Installed At: BtJ4Vt,'~. .. g 5,.c. .
Na",.oCOwner: B.,e~ ~~~
AddressoCOWner: 2._ "" . -. ..
Meter(s) Size: 2 k. .. ..
Meter(s)Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
. 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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N()te:' 1. A Plumbing Permit may be required prio~to tIle installation of the issued water.
. meter(s). . .. . .... . .
. 2. All plumbing must be conducted by a Wisconsin LicensedPlumber, except a hgme
owner may perform hisJher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112t1require a bypass.
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Meter(s) will be instidled and d according to the above information.
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Print Name of Applicant and COmpany .