HomeMy WebLinkAboutWater Meter - 07/20/2004 F7 /! ZG! LGG4 tie: L f 7LG rrN "4aur17 un.x-11- t i r rLUi•i rr� uu uv
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CITY OF OSEEICOSIEE WATER DISTRIBUTION
' WATER
METER PERMIT
Date: 216\04 (Plm. Print)
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Meter(s) Installed A . ,..
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• • Address�of Owner: ''�' �`�•. ■ _
Meter(s) Size:
Meter(s) Use: Check the U e(s) that apply,
Typical New Construction •
Single Meter T` Multi-Unit, Multiple Meter
1 "11:4" 1 "41
rte --�- �� �III�! _ — _ swam avail
tae Ili atlam Naves �MM[79
. .r'�e�yrttl[
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Typical Deduct•Meter
• .sau raugr " Typical Water Use Only Meter •
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mow y
Note: 1, A pltuabiag permit may required •
meter(s). Y be gttire:d poo to the •
iasrailation of the issued water
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2. All plumbing must be conducted by a Wisconsin Li
owner may perform his/her own plumb' Licensed Plumber, except a home ,
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he ale. For inquiries please ca11 23b- 50521. their single family, owner occupied
3• Meters > 1.12"
requi!e a bypass.
Meter(s) Will be installed and used according to the above information.
Signature of Owner or Agent K. C . . //Seri .•tom_ S in • S
Print Name of Applicant add Compa y ay.,./.
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