HomeMy WebLinkAboutWater Meter - 02/17/2005 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PE ' rill CEIVED
(Please Print)
Date:01—J70q • FEB 1 e 2005
Meter(s) Installed At: 38' 7 40 - t.' it DEPARTMENT OF
Name of O w n e r : o . 41 IfiNWPAI I T Y I` ' o' 0 PMENT
• Address of Owner. L (/ /% e Fim ' ea
Meter(s) Size: Mete Use: Check the Use(s) that Meter(s) �s ) apply. •
Typical New Construction . Typical Multi -Unit, Multiple Meter
Single Meter y ateesSou VALVES
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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 - ' A le. an. ed according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company