HomeMy WebLinkAboutWater Meter - 07/09/2010 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 1 (_9 ( c c
Meter(s) Installed At: 2 '3 & G / S rT R i z_vr
Name of Owner: 1 1 A-tzrr & s ( z c 1../ s ¶-Gri /).-rt Ls
Address of Owner: 2 2'? 9 IA Lc" w a- A_ 'r o /./ r4. . /-) 4 S r r( 1
Meter(s) Size: `
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter
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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.
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Signature of Owner or Agent Print Name of Applicant and Company