HomeMy WebLinkAboutWater Meter - 09/26/2003 •
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: ?ALA
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Meter(s) Installed At: ��7 �- Re-czi
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Name of Owner. C to s
Address of Owner:
Meter(s) Size: 3/4`t
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction I Typical Multi-Unit, Multiple Meter
Single Meter NEMIROATIONVALI=
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Typical Deduct Meter Typical Water Use Only Meter
NO aANIUARr Ns'TI R ISCLATION ISMS
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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 us according to the above information.
u /A I -S
//g of wner or Agent Print Name of Applicant and Company