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HomeMy WebLinkAboutWater Meter - 8/29/2006CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Pint) . Date: 9v 2q~D~ Meter(s) Installed At: ~Q y0 ~o~~ N Name of Owner. Rws~h l~e~ Address of Owner: ~•o• ~6,~ O n~ Meter(s) Size• 3~y Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter aaowoste ---- ,,~s""r"'e"a~ Typical Multi-Unit, Multiple Meter ~se.ou~wwro a+wrwerstwat Typical Deduct Meter ^o aw+rriw+r aswoe osow~aa a.ow.s~o ~ua~ wRMr.aw.~ ^oaw.r~,• a~o.owoE ~~ ~ra~asra . awsnairs~ ' ~ sueowo ea~a~aac vaa~ . a~owe~~.vewt 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 ca11236-5052. 3. Meters >_ 1-1/2" require a bypass. Meter(s) will be installed and used according to the above information. L 5 ~~~~~ sus a ,,,~,< < ignature of Owner or Agent Print Name of Applicant and Company Typical Water Use Only Meter rerw.eu~~wu~ •