HomeMy WebLinkAboutWater Meter - 12/18/2002OSHKOSH WATER DISTRIBUTION
CITY OF
WATER METER PERMIT
(Please Print)
Date: ! ~ ' / ~°
Meter(s) Installed At: ~ ~ 0 ~' ~"" ~ ~ ~'"` ~~. •
Name of Owner. ~~-~" ~' "'~-~
Address of Owner s S'75 ~~`9 ` '~" ~' `'i`ce
Meters} Size: - ~ ~ '
Meter(s) Use: Check the Use(s) that apply.
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Single 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 > 1-1i2" require a bypass.
Meter(s) will be
and used according to the above information.
Signature of weer 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