HomeMy WebLinkAboutWater Meter - 07/09/2010 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: '7 . 9 ( 2 (a •
Meter(s) Installed At: 2 3 8 2 ar 1 S Trz t.9zg-i
Name of Owner. /1 /4rLrr' P-AL(.,s c us ri 14-c /
Address of O w n e r . , 2 2 '1 Lt cc.. e L L o u■ w 4 . . 1 77, i f-r'e.;s N, u- i 5 L r c Ll — rl + r1
Meter(s) Size: 3 ,44 '
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter r/ lam NOL =VAWO
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Typical Deduct Meter Typical Water Use Only Meter
NO BANTAM' NOIR INMATE* VANES
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ALLOWED IAIRART EWER ND SANITARY
INICHANOE
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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