HomeMy WebLinkAboutWater Meter - 12/29/2004CITY OF OSHKOSH WATER DISTRIBiTTION
WATER METER PERMIT
(Please Print)
Date: ~ ~
Meter(s) Installed At: /~yC~ ' ~~ ~-
Name of Owner. ~~~~ ~ fk~~e;s
Address of Owner. ~o ~~x y Z 3 , ~~ R-e~ wi ~t4 t~ 3
Meter(s) Size: ~~~
Meter(s) Use: Check the Use(s) that apply.
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Single Meter !'''
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Typical Multi-Unit, Multiple Meter
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Typical Deduct 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 o or Agent Print Name of Applicant and Company S~,aCrs y~
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Typical water use only Meter
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