HomeMy WebLinkAboutWater meter permit 2/11/11 CITY OF OSHKOSH WATER DISTRIBUTIOI -
WATER METER PERMIT
(Please Print) •
Date: 2i/ J / /
1
Meter(s) Installed At: 3 3 3 Z Mau 11) ( 518 33a
Name of Owner. `Ruse!+ ,
Address of Owner. PO. Bat 9 Z 3 G3Yh16 I Sly $ C 3
Meter(s) Size: .3A B •
Meter(s) Use: Check the Use(s) that apply.
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Single Meter I T IR ONMATION VM fl
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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.
Meters) will be installed and used according to the above information.
- - . .,fah"` t.- SOS
Signa of Owner or Agent Print Name of Applicant and Company