HomeMy WebLinkAboutWater Meter - 07/09/2010 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: �`_ 9 /V
Meter(s) Installed At: /Z / '�/ / S ,CJ
Name of Owner: / /
• Address of O w n e r . , , . 3 � k l � [ : , O '/ 'ZV I Y�
Meter(s) Size: // !'
Meter(s) Use: Chec t 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.
M ' be i ' : d ed according to e above information.
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Signature of Owner or Agent • rip .. e of p t and Company
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