HomeMy WebLinkAboutWater Meter - 05/04/2005 19b/ tl.il Yt u 'L1: elb 7Ytl r 33-C ! 13 WH I I C. S r1.umaliw rrauc v r r u r
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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT,
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.Date: S=ii�(-
. -Meter(s) installed At 3 j Vo ea 11, At./ Li orb k 1 ude �.,dy,
Name of Owner. / 1 / tee .J/ ALrw/ / , u ft 1. • . ) go .r �6 ♦ /
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• Address of Owner - � •
. Meter(s) Sire: • a v ---...— •
Meter(s) Use Cheek the Use(s) that apply.
Typical Multi -this Multiple Meter .._._
Typical New Construction yP
Single Meter _______ ismnaisumenv
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Typical Deduct Meter
/Typical Water Use Only Meta• PV"
NO wows
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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 hgme
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236 -5052.
3. Meters_ 1 -1/2" require a bypass.
Meter(s) will. installed and used according to the above information. .
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• : ',. • of Owner or Agent Print Name of Applicant and Company
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