HomeMy WebLinkAboutWater Meter - 12/23/03CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: l Z3 c~
Meter(s) Installed At: 13 ~I O J ~ d~ L~ e ~'~,,~.-.+
Name of Owner. '~"• ~ 2 ads •-s
Address of Owner. 1 ~o fit: ~ve,,r V-~-
Meter(s) Size:_~ 4 ~
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
Typical Multi-Unit, Multiple Meter
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Typical Deduct 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 ca11236-5052.
3. Meters > 1-1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
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Signature of Owner or Agent
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Print Name of Applicant and Company