HomeMy WebLinkAboutWater Meter (deduct) - 09/16/2003 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: /'J / c)3 ,
Meter(s) Installed At: ( 77 Ltleafker ins' p ive. Oc Tit)
Name of Owner: I �a�
Address of Owner: 775' tLJ !1±ke(. 1 Q (•i ve
Meter(s) Size: k '
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.
: Zit.' ! `t c r t
Signature of Owner or Agent Prin Name of Applicant and Company