HomeMy WebLinkAboutWater Meter #90 - 5/27/05CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: ~ ~`'7 CAS
Meter(s) Installed At:~ ~~ ~f,
Name of Owner. ~' ~- ~~ ~~ _
Address of Owner. //'s- ~ era ~•.f.~ ,~ i ~ ~.1
Meter(s) Size: '31~
Meter(s) Use: Check the Use(s) that apply.
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Single Meter J`
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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 call 236-5052.
3. Meters > 1-1 /2" require a bypass.
Meter(s) will be installed and used according to the abo a information. ~'~.~ c~.C.!-1 ~~
Signature of or Agent
Typical Multi-Unit, Multiple Meter
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Typical Water Use Only Meter
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Print Name of Applicant and Company
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