HomeMy WebLinkAboutWater Meter (1") - 12/22/08CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: - 01e
Meter(s) Installed At: 192 3
Name of Owner. (9& t-t 140A W
Address of Owner. 3
Meter(s) Size: l
Meter(s) Use: Check the Uses) that apply.
Typical New Construction
Single Meter
o■cm~70
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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
Typical Water Use Only Meter
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according to the above information.
Signature of Owner or Agent
Print Name of Applicant and Company