HomeMy WebLinkAboutWater Meter - 05/21/2004 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:11,___t_I
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Meter(s) Installed A
Name of Owner: C r k. S S E «-e-
Address of Owner. . 40 UJ • 6 A V C
Meter(s) Size: W •j .
Meter(s) Use: Check the Use(s) that apply.
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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 Comp