HomeMy WebLinkAboutWater Meter - 03/25/2003 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 43 °Q5 ° 0 3
Meter(s) Installed At: 'a:3 5 S' o L i'` S e f)
Name of Owner: (OSict E.. ;; Pi s
Address of Owner. t et) ',A) y Dr c' S' tr Ro S
Meter(s) Size: / `
Meter(s) Use: Check the Use(s) that apply.
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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 i .• led and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company