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HomeMy WebLinkAboutWater Meter - 06/27/2006 a,.......+ D 5 CITY OF OSHKOSH WATER DISTRIBZJTION WATER METER PERMIT (Please Print) • Date: 6 /d 7 iGo 6 Meter(s) Installed At 3 t,) h 1 •t icy. r I Lin u h, f A . Name oofOwner: /11 ;40 , est Gen Le a./ C oh1ra..t0 es Address of Owner: 019 Q 0 G n; v e. r sa 1 S as f e- C ©s ltko,s h W, S V 94 Meter(s) Sine: 3 /. 1 , " , Ndeter(s) Use: Check the Use(s) that apply. • Typical New Construction , Typical Multi -Unit, Multiple Meter Single Meter �[ *am 11110401011 Va no •mow- ....r. r"."...anarralrer • agromwamla "'—u�irrna erautearwawe� a�w°+'rw'�+e Lamm =1111 YAWN Ar odUIL alledCOPIINiLVALVE Typical Deduct Meter Typical Water Use Only Meter no IMINIEaRr Alum= sortmereesses • alla7IMIIIMPar NAMED • of • • grim • • • Imam cotIMGLvain . �1111f1�e mr aL'ioel waves Isamu Note:. 1. A Plumbing Permit may be required prior to the installation of the issued water meter(s). 2. All phmibing 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 1-1/2" require abypass. Meter(s) will be installed and used according to the above information. • / 1 l _ foe 466 e.n lac cers ?lu.�,�bin the , Signature of Owner or Agent Print Name of Applicant and Company • •