HomeMy WebLinkAboutWater Meter PermitCITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print) .
Date: ~~ /~ 6 ~
Meter(s) Installed At: ~ ~~~ ~~~~~`'GO``~
Name of Owner. ~ ~i~.~,T ~ ~.~~~s
Address of Owner. 3 ~ Gi eSl ,
Meter(s) Size: y "
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
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Typical Deduct Meter
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Typical Multi-Unit, Multiple Meter
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 inst~led and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company