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HomeMy WebLinkAboutWater Meter - 11/26/2002 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: // rT C ' o Meter(s) Installed At: rg 3 5 - /'�'" '��" � Sc ' y" Name of Owner: `1n J i Address of Owner. / As - Meters) Size: / " Meter(s) Use: Check the Use(s) that apply. • Typical New Construction x Typical Multi -Unit, Multiple Meter Single Meter ISM INSAIICIN VALtlO • a,z o/DLlRaETO SARRARYMISR x �� ataotAROttTo "WA" WA" .—""" lomat YaATJOSI 1R mama COMM CORTMOLVALVIE tom. Typical Deduct Meter Typical Water Use Only Meter NO SAINTAlirf NITER MOLAR= RUM SIYrIR 000IAADtt 010Wta[TO ALLOWED IN TA V aawee I + NO $ALLTAa► PTO saarva,r MVOS 1 • saloon =arm yam . REM ELIASIXIN YAMS . imam wonnt wan 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 . d used according to the above information. (Signature o Owner or Agent Print Name of Applican and Company