HomeMy WebLinkAboutWater Meter - 08/12/2010CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:-$//-Z//o
Meter(s) Installed At: 3 7 8-0 102' k V"' e. T
Name of Owner: Ti .N M C b i E4 r
Address of Owner.
Meter(s) Size:
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
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Typical Deduct Meter
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Typical Multi -Unit, Multiple Meter
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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 2 1-1/2 " require a bypass.
Meter(s) will be installed and used according to the above information.
Signature of Owner or Agent Print Name of Applicant and Company