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HomeMy WebLinkAboutWater MeterCITY OF OSHKOSH WATER DISTRIBUTION Date: ~ ` ~ ~ ~-' (Please Print) Meter(s) Installed At: i -~15' ~ ~~.~ L~ ~- Ca " Name of Owner: C' `- ~ ~ y-~~~} ~ ~ ~r 2 ~ ~~~T'~ Address of Owner. ~ ~'-1 S' ~3~~~~*'+'~~ ~ ~ n-~ (~~ Meter(s) Size• ~' 1 ~S Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter ~ WATER METER PERMIT arow~oaTo ~~aiwrrmeriawat ~~ aua~o eamm~vaurt ~~ Typical Deduct Meter No aaa+rr~r aawa oooow~oa ~u.oweo o^owaszre ` wnwer amt Nosa~~ aawat aao~ K~ adowwa to a+wrriYar aawot ^C~pYioM vKVO , T'~ ~~~~,~,~ 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 ins led and used according to the above information. ~~ ~. ,..i Owner or Agent Typical Multi-Unit, Multiple Meter ~- "~`osow~otto ~/ a+wt~r aaweie ra~aanocanaa~rwvs ~Eaaou-noMV~was Typical Water Use Only Meter oaa~eoesiauno~r~ -. - Print Name of Applicant and Company ~ tus~o cararnac vK~ .