HomeMy WebLinkAboutWater Meter - 05/04/2005 EMI 0J/ LCIVU Z1;1:10 7.40 t 7J - 4 I1 J wry I • u1.0 11..u•wa•FA • .-•• ••••••
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CITY
OF OSHKOSH WATER DIS
WATER METER PERMIT
. (Moue Print)
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Date: S: r
: Meter(s) Installed At
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. Name of Owner: d • c O nr flA . J
. Address of Owner: : -
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. Meter(s) Size:
Mete (s) Use: Cheek the Uses) that apply.
Typical New Construction k i • . Typical Multi -Unit, Multiple Meter
Single Meter K met No g10M1
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Typical Deduct 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, xce a occupied
owner may perform his/her own plumbing within their single family, �p
home. For 'inquiries please call 236-5052.
3. Meters > 1 -1/2" require a bypass.
Meter(s) will in and used according to the above informatiion. ax„, .
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..31�aanm~ of Owner or Agent Print Name of App licant and Company
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