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HomeMy WebLinkAboutWater Meter - 06/27/2006 dragoamomegswea CITY OF OSHKOSH WATER DIS , ra. WATER METER PERMIT \,......_.t (Please Wit) Date: 6/2 7 /D 6 Meter(s) Installed At 3 W h, fdt 1 1, U h f G. Name of Owner: 44g -' w est 6en tea/ C•o lre,l' • Address of Owner: d 9 q0 U n; v e. ✓ Sa S 4 i i e.. C. ©s ltkos W S V 96 Meter(s) Size: 3 1)i" Meter(s) Use: Check the Use(s) that apply. • Typical New Construction • . Typical Multi Unit, Multiple Meter Single Meter X mu= Mir a.eoo sr-1�s oaN01 ,o 8ONSOIRT mem Typical Deduct Meter Typical Water Use Only Meter MO ameratir so ilvvig0 �. + -. —,. NO OMOrduor animawmataimes - . ar .1..170. - I E . 17:1. ' _ eK VM,ynr ammo ax mugp Note: 1. A Plumbing Permit may be required prior to the installation of the issued water meter(s). 2. All plumbing roust 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 a bypass. Meter(s) �w will be installed and used according to the above information. • // l - 1Oe 4 b6 en • / a eed5 Pik rnb , it y IhC,, Signature of Owner or Agent Print Name of Applicant and Company