HomeMy WebLinkAboutWater Meter - 04/21/2005 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: i1.-7/ `r •
Meter(s) Installed At: c' to 0 (V7 f i F}- S' .
Name of Owner: Z' s v si° p m °
• Address of Owner. • 3g 0 / Xl• 01,31 a )
Meter(s) Size: 1
Meter(s) Use: Check the Use(s) that apply. •
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Single Meter >6 noun 11 AlO1VAINU
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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.
�iA�i r C/ eA• 1. 'r`' AP ' 6 Z. _. ,NCj
S gnature • Owner or Agent Print Name of Applicant and Company
•