HomeMy WebLinkAboutWater Meter - 11/15/2007 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: /1 1 1C / 0 7
Meter(s) Installed At: 6 00 L'i'e-'` )4 L 2 s x a A-' LI Ot? •
Name of Owner. 6- LC as Y /'�' `''
Address of Owner. it, c acc-4:- / . ' 6 C-12 0 N e / 2c C 4'5 > /--/r (
Meter(s) Size: 3 / 5r '' -
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction . . Typical Multi -Unit, Multiple Meter _____
Single Meter O O " 170 MVOS
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Typical Deduct Meter Typical Water Use O nly 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.
Meter(s) 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