HomeMy WebLinkAboutWater Meter - 09/04/2002 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
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. Date: - 1" - ,
Meter(s) Installed At: `- Are- -L r9 .' ft- L
Name of Owner: e -f? l C-r m •
Address of Owner. I "152) AVE Os E-t K css
Meter(s) Size: 3 ) ��
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction • Typical Multi-Unit, Multiple Meter
Single Meter •_ ISM sa,► I=WINN
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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.
1; / e
of Owner or Agent Print Name of Applicant and Company