HomeMy WebLinkAboutWater Meter - 06/27/2006 Ohmlowerore
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CITY OF OSIJKOSEY WATER DISTRIBUTION
WATER METER PERMIT
(Phone Print)
Date: 6 /d 7 /06 •
. Meter(s) Installed At 3 7 5 White- r i/ 1- o f D.
Name of Owner. N1 64) s z Cg e n t r a / C r4, * 1)
Address of Owner: d 990 U n; V L r sa I S u I f C. Ds lt•kos j W, S' y 90 w
Meter(s) Size: 3 /.y
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction • , Typical Multi-Unit, Multiple Meter
Single Meter . X _ lick.anowwrueti
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Typical Deduct Meter Typical Water Use Only Meter
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Note: l . 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 -1/2" require a bypass.
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Meter(s) �w ill be installed and used according to the above information.
1 % 1. I • J■oe bd Ln 0 4` f er5 i ihC
Signature of Owner or Agent Print Name of Applicant and Company
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