HomeMy WebLinkAboutWater Meter - 09/30/2010 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: / `�
Meter(s) Installed At: -/ .641 v J -" 0 -
Name of Owner: .b'1 v j
Address of Owner., /1 4 . A. i 0. i . y t
Meter(s) Size: elk f ,
Meter(s) Use: Ch 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) installed and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company