HomeMy WebLinkAboutDeduct Water Meter - 05/05/2010 --. Mike Bloom 715 - 256 -4207 p.1
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CITY OF OSHKOSH WA TER DISTRIBUTION
WATER METER PERMIT
(Please Print)
. Date :5 j 4 /iD
: Meter(s) Installed At: ) 75 *IS •
Name of Owner. D I^7Y ). Wd ; � L c-
. Address ofOwner: . o vete -
Meter(s) Size: 3 /`a ` - .
Meter(s) Use: Check the Use(a) that apply.
Typical New Construction , Typical Multi -Unit, Multiple Meter
Single Meter WIN aouaowvxVa
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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. Meets > 1-1/2" require a bypass.
r(s) will be installed . , • . • according to the above information.
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Signature Owner or Agent Print Name of Applicant and Company