HomeMy WebLinkAboutWater Meter - 06/09/2005 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: (0 •
Meter(s) Installed At: 0� 3 / f 1i ��e Pi- j re r�� •D2
Name of Owner � Xec- ✓ t- ! ve f-/onr `3
Address of Owner: 3'/ 7 g Po 1 ‘4 , -10 , ^ 6r ) Vi//. wrS'Y7s
Meter(s) Size: / .
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction , Typical Multi-Unit, Multiple Meter
Single Meter MIRIOoMTIONOM1 I
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Typical Deduct Meter 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 > 1-1/2" require a bypass.
Meter(s) will be installed an used according to the above information.
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Signs of OWr or Agent Print Name of Applicant and Company