HomeMy WebLinkAboutWater Meter (3/4") - 12/22/08CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: IA- aa" O U
Meters) Installed At: .3 *73 i IY49AiS cam
Name of Owner. Q S It t` 0 SM l .e &P
Address of Owner. 55
Meter(s) Size: 31%-1
Meter(s) Use: Check the Uses) that apply.
Typical New Construction
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 call 236 -5052.
3. Meters 2:1-1/2" require a bypass.
Typical Multi-Unit, Multiple Meter
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Typical Water Use Only
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will be installed and used according to the above information.
Signature of Owner or Agent
Print Name of A plicant and Company