HomeMy WebLinkAboutWater Meter - 7/20/2004V(I GV/ENVY VV.Lf JLV
~ t~F aS$KOSH ~YAT~R DIS'Z'RIBU'~T4N
~~1'~R. ME'1~R ~'EI~;N~'x'
• (Ply. >~~~ . , .
Date • ~~ ~ l~'~...
Meters) Installed Ate
' Name o[ Ow~uer:
• • Address•o;f O~tety
Meter(s) Sizes ~
M~'(s) Use: Check ~e
. ~-pical Naw Constinrctian
Siagle Memr
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Tye •i~
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rrlripl wa~ervse oalyM~
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Notr: I . A plumbi~ag Permit may be regw,~ prior to the installation of the issued water
miser(s).
2• All piumbittg must be cotuducted by a Wiscoruin L'
°~ ~Y Perform his/her own plurnbizz Plumber, rsccept a home ,
home. For inquiries please tall Z36-5052 $ ~~ therm ale faintly, owger occupied
3. Metc;s > I-IR' rogvite a bypass,
Meter(s) will be idled and used according to the above information
~' ~ ~~ ~
IC.. C _ d/Sdrr ~
Signatvrt of Owger or Agent Prim Name of ~ °1 ~~ r' v~ /(
• Applicant aad Cbatpany ~/tsr~rl~s~ dnc
---- --rr.~..
Typical Muni-U~ Muttiplo Mexr `~
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