HomeMy WebLinkAboutWater Meter - 05/22/2003 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 572-? 1 3
Meter(s) Installed At: 1 L( 0 • g C` t -1 tA
Name of Owner 1 H o P -- 2 ,ATianilte- , OUNC d /ANcAtt S
Address of Owner. 14 0 S. L e c- S •
Meter(s) Size: '.
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction x Typical Multi -Unit, Multiple Meter
Single Meter ICETBC MOWN= VAWEI
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Typical Deduct Meter Typical Water Use Only Meter
NO swum ITEM ssOIATION VALVEI
WAN OOCEINNEE OCIOIMNOETO
ALLOWED IAMrANr IEWM
MO IM/TMV
WOVE aONCHANGE
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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.
Mete (s) 11 be ins • ed d ed according to the above information.
P 160
Signa re of Owner or Agent Print Name of Applicant and Company