HomeMy WebLinkAboutWater Meter - 03/17/2006 CITY OF OSHKOSH WATER DISTRIBUTION `
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WATER METER PERMIT
(Please Print)
Date : , 1.
Meter(s) Installed At: 30 571'i r j �`� C1"1
Name of Owner. �ris.c G i 4 i ,s A Co 4
Address of Owner. y 0 14 (2-e- Q ( 04,-4, ,mot c o 4 _ - n f i
Meter(s) Size: °` •
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction • Typical Multi-Unit, Multiple Meter
Single Meter NEMNOIATION WNW
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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 and used according to the above information.
igna of Owner or Agent Print Name of Applicant and Company