HomeMy WebLinkAboutWater Meter - 10/05/2004 - -. -. ..�.... -v. -v .r <..r f.. f JVV t rvxn r a7 Ara, PAGE 02
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Plow Prue)
. Date: /a - ;
Meter(i) Installed At: ale' /d o t- c T
Name of Owner: C Sr e c /1 a.. y •66t
Address of Owner: _Pd Bev- 73 v04�iK
Meters) Size: _7'V
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Meter(s) Use: Check the Use(.) that apply.
Typical Ncw Construction . Typical Multi-Unit, Multiple 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.
Me.- ' 1 be instilled • used according to the above information.
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Signature of Owner or Agent Print Name of Applicant • Company