HomeMy WebLinkAbout2012-Water Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER
METER PERMIT
(PIease Print)
Date: O .
Meter(s)Installed At: • •a — ct —_
Name of Owner: `T �, • 1, _ 1
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Address of Owner: 9 t2 -&- , _ �� r N�lr�)
Meter(s) Size: �' ``� ~��� -4 Z. • — gaci
Meter(s) Use: Check the Use(s) that a ly.
Typical New Construction - . Typical Multi-Unit,Multiple Meter
Single 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) • :_ 'nstalled and used according to the above information.
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�gnature of Owner or Agent Print � �G� V
nt Name of Applicant and Company
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