HomeMy WebLinkAboutWater Meter - 3/1/2001CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: ~ ~ / ~ ~ I
Meter(s) Installed At: S G 5 G-G ~ D t~ u ' ! 72 r~
Name of Owner: 7 ~ i-~-+.~ `T ~F~r-~c.~
Address of Owner. '~ ~ ' ~ u ~z P c ~- e ?2 c~~ 7"
Meter(s) Size• ~/~~ `•
Meter(s) Use: Check the Use(s) that apply.
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Single Meter
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Typical Multi-Unit, Multiple Meter
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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 ca11236-5052.
3. Meters > 1-1 /2" require a bypass.
Meter(s) will be installed and used according to the above information.
Typical Water Use Only Meter
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Signature of Owner or Agent .Print Name of Applicant and Company
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