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HomeMy WebLinkAboutWater Meter #92 - 5/27/05CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (please Prat) Date: g"~ °~ Meter(s) Installed At: 7''" ~ ~ ~~ s~~ Name of Owner. CAL ~N V~ b~7+^e.~`s Address of Owner: ~" .~. n..r ~~' Meter(s) Size• ?. y ~~ Meter(s) Use: Check the Use(s) that apply. Typical New Construction ,Typical Multi-Unit, Multiple Meter Single Meter I ,,mee.a~,n,oMV~ oaaw~asto ~~awar~raawet ra~aiou~vsures Typical Deduct Meter Mo siwr~r aawoeovow~oa aa~owocto Kaowm s~Mraawee as Typical Water Use Only Meter wo a~~r aawe~ osow~ ~~ awariueirse~ ~'t1EfEJtML'~AYQIIY11Wp , auaasio C~lOli. YQWa 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. Meter(s) will be instglled and used Signature of Owner to the abov onmation. ~p~~Z~c c~ctt~ Fi=~~ Print Name of Applicant and Company ~.+..o.~omRSOCVK~ .