HomeMy WebLinkAboutWater Meter - 06/27/2006 •
CITY OF OSmcOSII WATER DISTRIBUTION (,
WATER METER PERMIT
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Date d /a 7 /0 6
Meter(s) installed At: .3 $ W h i f e_ Tat a h; f f. •
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Name of Owner. 41 wars+ 6en' / • Cah 'Ira,tA ✓ S
Address of O w n e r : c 9 40 U n► v r s4. d $ 4 f e. C DS hkos A W, S Q96
Meter(s) Size: 41
Meter(s) Use Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter tNISuTIOwWILMS
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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 -1/2" require a bypass.
Meters) ! w I will be installed and. used according to the above information. //
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Signature of Owner or Agent Print Name of Applicant and Company