HomeMy WebLinkAbout2003-Water Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 97 ii 3
8S h L ,A) 57' _ 4s��.S .
Meter(s) Installed A , lit /1/4—
Name of Owner. /y P.Ar '' V
- Address of Owner.
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Meter(s) Size: . 1 tit/ CI' 3" 3k pAss
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction I � � S . Typi � ee m M i wa ultiple Meter
Single Meter
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INNOWNINITO
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Typical Deduct Meter Typical Water Use Only Meter
NO SMfTARM OMRI OLA7LNIIMMLMEE
j ALLOWED a ere ryEllEit NO snow
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.as . IN
1117 OMT
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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 will be irs • led and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company
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