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Water Meter - 11/3/08
CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date• ~ ~~- 3~ c7y~ Meter(s) Installed At: 7Co 0 ~~~' K.w c ~ ~l XL Name of Owner. WAo,,r k r Address of Owner ~ Q i © '~,~.r..ac Meter(s) Size• ~~4 Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter a.oMaorio fa+wr~ue,raawot .--~~ aro~wwnoMVKtra `_ uo.ia ~vKVs Typical Multi-Unit, Multiple Meter o.owwato awrs.R.s~ Typical Deduct Meter ^o awrae+r aawea aaow~oa aaow~oaTo Kaor~ a+w~raeraswet 11EflJt YC~AYdI Typical Water Use Only Meter ~ twswo e~aoc vKVS . w a+wraunr :ss~ osow~ ~~ s+wrwer=e~ T ~,~,~ ~ asa«oec~+~a~vawE 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 cal1236-5052. 3. Meters > 1-1/2" require a bypass. Meter(s) will be installed and used according to the above information. Signature of Owner or Agent Print Name of Applicant and Compan neree~ounoMV~