HomeMy WebLinkAboutWater Meter - 08/04/2010 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: Fl ` /IZ.a(
Meter(s) Installed At: 6 0 0 M 1 Ai t • ski A_ t< 1. Ls'
Name of Owner. N i u. i r Y I-1-0 H I.
Address of Owner. #c $ 9 ' P U 2 P L,. c 2 t.sue t7 P f Vi c l i
Meter(s) Size: 3 44 "
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction Typical Multi -Unit, Multiple Meter
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a ' IAwTARY SIMI! OINCNANGIE TO
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Typical Deduct Meter Typical Water Use Only Meter
NO swum rErae rousioM VALSSs
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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.
C . - 2 4 _ 7 6 . SC /it o - P P c 4ri r3 ant e
Signature of Owner or Agent Print Name of Applicant and Company