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HomeMy WebLinkAboutWater Meter - 5/14/03F .OSHKOSH WATER DISTRIBUTION CITY O T WATER METER PERMI (Please Print) Date• ~ l~°9~ Meter(s) Installed At: Name of Owner: ~ ~~ Address of Owner. D Meter(s) Size: "" Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter o~owioEto ~awrraerasw~t .-~ ntroe dounoM vswo ~~ yapMa cdrnto~v~vt ~~ Typical Deduct Meter No awrraR+- osiow~oaTo sawoe osow~at :~~r ~ Typical Multi-Unit, Multiple Meter __ ~~~~vKVas ~our~~~o ~/ awrau~r sawea r~~a~nns.vsur[ Typical Water Use Only Meter ~~~~~~~ reteeanunoav~ l Moanwr~r ..~~._~ ~~~ . ~- .tea ~+-x vKVt 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 ca11236-5052. 3. Meters > 1-1/2" require a bypass. Meter(s) will be instilled and used according to the above information. Sienatdre of Owner or Agent Print Name of Applicant and Company