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Home My WebLink AboutWater Meter (deduct) - 5/23/2000CITY OF OSHKOSH WATER DISTRIBUTION Date: ~ -Z 3 -Oo WATER METER PERMIT (Plwse Print) Meter(s) Installed At: ~~ ~ 5 k ~ (< e,~ r rt ey C~ Name of Owner: c! ~ ~ f-(a~1 ' Address of Owner: Z7 ~o : t(c~rnc C Meter(s) Size• N " Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter arow~onTo ~~aiwnueraewnt •--~ reteie ~ou-non vKVo ~~ wao~o cowrno~vKn Typical Deduct Meter Mo s~+.raer ea!woe osoweaa ~ta,owm Typical Multi-Unit, Multiple Meter ~e~eaiou-noMVKwo '~`oueTo ~/ a~wrM,r aewes ra~a~a~renaw~vs ~~- Typical Water Use Only Meter o~wan to verse dou-noN vKres ~~_~ 1 ~~~ ~~~ ~~~~ . Me<aM0 CdffllpL YALK 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. ~) will be instal~led~an_d used according to the ja~bo (ve informatioAn.~ ~,~/ ~~'~ ~ "'r - 't'L1.Tf ~~ ~.~ ©`1 V "~ ~ (( ~ ~ Ne i ~ ~ ~ri ~ r /'i S P1 P Signature of Owner or Agent Print Name of Applicant and Company T.K.