HomeMy WebLinkAboutWater Meter - 05/25/2004 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:
Meter(s) Installed At:
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Name of Owner: /1/4
Address of Owner. P R(-3 —
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 installed and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company
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