HomeMy WebLinkAboutWater Meter - 05/11/2005 05/11/2005 00:09 920- 733 -2713 WATTER5 PLUMif1Nla rmum UFUf
CITY OF OSHIKOSH WATER DISTRI IPTTION
WATER METER PERMIT
. (Please Print)
Date: 5/ /
•
• Meter(s) Installed At 7/5 �:✓•. e.4.'MI Na
• Name of O w n e r : � % i ✓ ,_ , ! r / er..a A / --
. Address of Owner: ' / 1 r , . / . $ A t J I • , If ems{!/., / • -
Meter(s) Size: - ? *,'
Meter(s) Use: Check the Use(s) that apply. •
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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, 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?... 1 -12" require a bypass.
Meter(s) will be install used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company
•