HomeMy WebLinkAboutWater Meter Permit (02/04/13) CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMI T
(Please Print)
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Meter(s)Installed At:
Name of Owner. if)", ' T ``ra__. ' r,71
Address of Owner YS A4 Cr A-•/P,,/, .
Meter(s) Size:
Meter(s)Use: Check the Use(s)that apply.
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Single Meter ` nt'sI NOLATION vM U
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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 instilled and used according to the above information.
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Print Name of Applicant and Company
Signature of Owner or Agent s6s c, LA io-SW 33