HomeMy WebLinkAboutWater meter permit 10/14/02CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: / 17/Z'
Meter(s) Installed At: / % 'it t211. 14 S f
Name of Owner: t� c'- c1 1 f
Address of Owner: t'i 1z P.0 L.';_ _ e r2 L' , f
Meter(s) Size: ',ter
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single :Meter
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Typical Deduct Meter
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Typical Multi-Unit, Multiple Meter
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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.
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Signature of Owner or Agent Print Name of Applicant and Company