HomeMy WebLinkAboutWater meter permit (02/14/13) CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: QV i Li/.?i 3
Meter(s)Installed At: 32`10 C
Name of Owner: C-K \ J
Address of Owner: 3.21.t5 C 0
Meter(s) Size:, 3(ct "
Meter(s) Use: Check the Use(s)that apply.
Typical New Construction / .Typical Multi-Unit,Multiple Meter
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I M,OEMi=WOOL VALVE
isseasOMO CONTROL VALVE
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 installed and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company
SGS 0--111 G—C c-110 -s133