HomeMy WebLinkAboutWater Meter - 09/21/2010 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date : 10
Meter(s) Installed At: 95s L vim. e br •
Name of Owner: ° Moks ca. 4 Z +N.K.
Address of Owner. 9 5'� Liv4Lw 00.10, 'bi'`
Meter(s) Size: 3 `4-
Meter(s) Use: Check the Use(s) that apply.
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Single Meter /� MO NNIDLAT+OMVALVEs
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Typical Deduct Meter Typical Water Use Only Meter
MOINNONRY NOM MOATS= NUM
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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.
YtiA . Yom C.14. 4) j
Signature of Owner or Agent Print Name of Applicant and Company