HomeMy WebLinkAboutWater Meter - 11/26/01CITY OF OSHKOSH WATER DISTRIBUTION
- WATER METER PERMIT
(Please Print)
Date: t ~ l7 ~ (Z c c .
Meter(s) Installed At: _ ~ 3 ti o ~ ~! fl ; ~ ~ ~ ~ c
Name of Owner: ry.tL L APL ;' NGr, ~
Address of Owner: / c c: R a z. ~ ~,c, G- G--2 ~ ~ ~ ~ z ~- ~ s1trG S l ~, u.~(;
Meter(s) Size• ~~~-~
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
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Typical Deduct Meter
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Typical Multi-Unit, Multiple 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 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
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