HomeMy WebLinkAboutWater Meter - 12/14/2004 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: /2/ / V/ ley •
Meter(s) Installed At: 2- r7 Li 3 as--R vq. 'i' •
Name of O w n e r : LF & - ' 1 " . l4 -, 0
Address of O w n e r . 1 ° ! `// i bro S 7 1 2
Meter(s) Size: 34 '' •
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Meter(s) Use: Check the Use(s) that apply. •
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Typical New Construction Typical Multi -Unit, Multiple Meter
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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.
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Meter(s) will be installed and used according to the above information.
G S c //y r PL/3 C.
Signature of Owner or Agent Print Name of Applicant and Company
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