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HomeMy WebLinkAboutWater Meter (deduct) - 5/23/2000CITY OF OSHKOSH WATER DISTRIBUTION - WATER METER PERMIT (Please Print) Date: 5 - a3 -C~ Meter(s) Installed At: Z 79'3 IC ~ (( Name of Owner: J ~~ Na~~ Address of Owner: z~9 o k : llQ rye Meter(s) Size:. y `' - Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter anMwsTo ~aiwnue+rsewen +~-~ts~esaw~vawo •_ auat~o cannot vKVt Typical Deduct Meter -~- No arwnuen seweee oooweat oe~wwa ~ Ktowm ~~ *~ Typical Multi-Unit, Multiple Meter Typical Water Use Only Meter raise saunoM v~wes 1 e+ua~o canneot v~weT os~ww~ to awrr~r saweie no a+urr~r aawtee ~ttowm to aewe,~e 1 ` L[Tl1t t~OtATn11 VKVI~ , - ` ~aMO CON~OL VKVE 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. ~nst~lled and used according to the above information. L%~~ ~~r; C~ ~` signature of Owner or Agent ~ncy Ct- C-4-, 2. l ~ ©~IJel~l ~h 1`erP/'~SYJ Print Name of Applicant and Company Lnc.