HomeMy WebLinkAboutWater Meter - 07/27/2004 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date• / —0 ,
Meter(s) Installed At: l 90 ' ..4 , c
Name of Owner: . .1440 t�cierr3 (6€U S CusTzm t - 3 PVC)
- Address of Owner. 73S` .fo Fr
Meter(s) Size:
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction , • Typical Multi-Unit, Multiple Meter
Single Meter woo ISOLATION VALVES
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Typical Deduct Meter Typical Water Use Only Meter
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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.
Meter(s) will be installed and used according to the above information.
Signature • f Owner or Agent • rint Name of Applicant and Company ^47.4 r
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