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HomeMy WebLinkAboutWater Meter - 9/21/2000CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) ' Date: ~ ~~~~ ~~ Meter(s) Installed At: ~~~_ ~ r i yf /~ ~ ~ Name of Owner. ~ a s i ~ ass~~ S Address of Owner. _ aZ S' c S- ~~rs l~~ S t C ~- Meter(s) Size• ~3/t~ Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter Typical Multi-Unit, Multiple Meter wlratesounowvKwes oNOwwEto ~~ aiwrraer aewoe ~'-- rrltn nou-t~oN vKVa aBLaNO COIR110L VKVE Cpf1a~YAWE Typical Deduct Meter ,_ No awNraer saweease~oa aww~ro ~u,oweo tiwaue,raewee 11a1lR r0{A1~II VAWla aliO~liC~flIIKY~LVa No a~~u~r aiwae aww~ ~uowao aacwr~ ro aw.rwer sewsie 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 23(x5052. 3. Meters >_ 1-1/2" require a bypass. Meter(s) willy~installed and used to the above information. L qQQ~ ~/~~.~~' Pc-m ~ . swrraer sewge Typical Water Use Only Meter nneedo~wtonwiws Sigga~fure of Owner or ~ ~nN000U1110LYKVE