HomeMy WebLinkAboutWater Meter - 10/10/2003 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: la) lG /c; •
Meter(s) Installed At: 4 G C u' 7 - %4 - r�fl S Ta.'ci D(Z
Name of Owner. 1 t 'ur €? l# or7 c >S
Address of Ownr: f ' - e 0_4_3=
Meter(s) Size: , - 4 •
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter It18taMIAMONvALYO
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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.
Meter(s) will be inst/lled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company