HomeMy WebLinkAboutWater Meter Permit (02/04/13) CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:b i'ot
Meter(s)Installed At: 2-q
Name of Owner: T t5A4 c
Address of Owner: j f12> N tr51' ;%), Dn. At/A' sa 5`5. 9/5
Meter(s) Size: :5P-1 6
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.
Signature of Owner or Agent Print Name of Applicant and Company
5eS e SID-x+33