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~
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Typical Deduct Meter
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Typical Water Use Only 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 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
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