HomeMy WebLinkAboutWater Meter - 9/07/2001CITY OF OSHKOSH WATER DISTRIBUTION
- WATER METER PERMIT
(Please Print)
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Meter(s) Installed At: ~J ~~ ~ ~rJf-t~ 5fi
Name of Owner: ~ G-/~ ~ ~.~.- _ k'w
Address of Owner: 6S ~ ~ ~'cs /t~, / ~c~~ ~,.i~,,,, ~ ~~,,,, j~~ g~~
Meter(s) Size: ~~~ 'y /
Meter(s) Use: Check the Use(s) that apply.
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Single Meter
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Typical Deduct 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 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 home
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters > 1-1/2" require a bypass.
Meter(s) will be installed and use 'according to the above information.
Signature of Owner or Agent Print Name of Applicant and Com y
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