HomeMy WebLinkAbout2004-Water Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: ( —
Meter(s) Installed A • ! / `SA- P S - -
• Name of Owner: . • U C -- '` -•, • c e
Address of Owner. . SA-
Meter(s) Size: aft
Meter(s) Use: Check the Uses) that apply. •
•
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter 11110L►*ION
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Typical Deduct Meter Typical Water Use Only Meter
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OULDI G CUSTOM VALVE
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 abave information. /�//-
5 l e/4 1 S `'l+'
�9�n�e � M i 199
Signature of Owner or Agent Print Name of Applicant and Company