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HomeMy WebLinkAboutWater MeterCITY OF OSHKOSH WATER DISTRIBUTION Date• Q ~~ ' (Please Print) Meter(s) Installs Name of Owner Address of Owner: / S d v J ~, !J s f- ac ~ C T Meter(s) Size: 1 ~` # yo Meter(s) Use: Check the Use(s) that apply. Typical New Construction % Single Meter ~/ o~oww~to ~~awwRaeraawwt ~-~ ra'rea uou-no~ vKVo ~~ suaosaco~o~vsw[ Typical Deduct Meter No swuauer aawe~ oso~ Kaowm WATER METER PERMIT oa~ow~arro asMr-~r aewee Typical Multi-Unit, Multiple Meter a~rounoMwawas `~`aa~wwa~ ~/ anwrruer amt ~rwA~:a vatwa Typical Water Use Only Meter naeesou-m~vsuro ~w svwr~. sawn ow>w~ ~ttowap ~waa To s~wrs,e, saweR 1 ` Y~TEJt YOMTON VKYQ ' _ ` a1~aN0 Ca1fl101 YALK 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 used according to the above information. Signature of Owner or Agent Print Name of Applicant and Company ~ suas~o earrna vKVE .