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HomeMy WebLinkAboutWater Meter - 06/27/2006 i -'f 0 CITY OF OSI OSH WATER : DISTRIBUTION '-c------- , WATER METER PERMIT (Plea Print) Date: 6/d 7 A 6 • Meter(s) Installed At: 3 5 W h ► f e . l I. 1 1 • U h - ' . . • . Name of Owner: All id w 6 e A Cr4. / C•osi: /ra to el • Address of Owner d 9 40 U n; v e. r Sea 1 S i e. C ©s 1 -k h 60," 3Q9 , Meter(s) Size: 3 i/ " - Meter(s) Use Check the Use(s) that apply.. • Typical New Construction . Typical Multi - -Unit, Multiple Meter Single Meter X Hole„ Notanonvanits . • vii ',"......--,,.. . aecr a I II -"'" , ■ �so .116.-.`'...- waaMa MCIWINCIL wILVIL • rta1wts,ocoeov.vattn Typical Deduct Meter Typical Water Use Only Meter we s—r T a•1WWW �s0ws to • rat rata+►�rrwu�ar . _ AM,J2Waa annonramas otO amorartr senot otfa arras • .t•norrr, . r+rtrstererr .4. - r �� •wrsr.omttaoCI. wog . • .r.rn.w aoarvw.vs • 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 installed and used according to the above information. ' l _ Toe ibb en L a ees Tiu,,,'A ih Signature of Owner or Agent Print Name of Applicant and Company •