HomeMy WebLinkAboutWater Meter - 03/30/2005 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 3 /-3.7 c> •
Meter(s) Installed At: 5 S� 4 f-3 A 7 on s *� /—d De-
Name of Owner. ` D tau al-
Address of Owner. 1 7 cf / h a4SC s7 7 1Firr
Meter(s) Size:
Meter(s) Use: Check the Use(s) that apply. •
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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 installed and used according to the above information.
6 - 12iar - F S ci,trl /6? "L 13
Signature of Owner or Agent Print Name of Applicant and Company
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