HomeMy WebLinkAbout2006-Water Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 8 d C I OS FR.A. ty /r oci/a g /204
Meter(s) Installed At: - :�'CJ -� A) s IA A y e. e t__ ,....,-r
. Name of Owner. C_FN j 44 it) -S .
Address of Owner. •
Meter(s) Size: . .
Meter(s) Use: Check the Use(s) that apply.
Typical New 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.
M. er(s) • • ' and used according to the above information.
I ' _ _ �.. 4 s e� -
Signature of Owner or Agent Print Name of Applicant and Company
•