HomeMy WebLinkAboutWater Meter - 09/29/2004 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 4 )" / 2 di / o v •
Meter(s) Installed At: 2 r 3.3 /4-1 ,,,/ t= 12 L- 4 •
Name of Owner: D C'adm' `t' t' c - 5
. Address of Owner: . / 9 L/ / /3a rc la $ l: .
Meter(s) Size: � /'-i `'
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction �� , Typical Multi-Unit, Multiple Meter
Single Meter Isinots ATOMVANIO
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Typical Deduct Meter Typical Water Use Only Meter
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.EWER _,,,,_
ALLOWED
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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.
r /20 Sc /'//)r 1 AI "'la 4
Signature of Owner or Agent Print Name of Applicant and Company