HomeMy WebLinkAbout2012-Water Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 730 Z
Z008 1
Meter(s) Installed At: €a-t'e- J kkso� s--1 G rca.+ C pS
Name of Owner: A t an« De„tl
Address of Owner: Z c (Yr r Sr4'ee- -1-c ZUq 0sirtkosL wr s'1 oZ
Meter(s) Size: .314"
Meter(s) Use: Check the Use(s) that apply.
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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.
62,6 ‘4L411:;c_k 1■) 1
Signature of Owner or Agent Print Name of Applicant and Company