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HomeMy WebLinkAboutWater Meter - 01/03/2005 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Ptease Princ) . � � Date: —' �� . Meter(s)Installed At: ���-� �°����"� �T` . Name of Owner. � M�� ��� . Address of Owner. ,�,� " ^ �o�i.�i�u> C'T � Meter(s) Size• -� � - . Meter(s)Use: Check the se(s)that apply. Typical New Construction ,Typical Multi-Unit,Multiple Meter Single Meter �_ ��►*�""�"° �aow�a�to � ��a+wrweraewet . �� o�■o�to � �/ a�wrNer sawoe r�isrsit sou�vKVO ' '��u�o�,o eoirnmi.v�ws . r"sa"°°d""°.�""" � Typical Deduct Meter_ Typical Water Use Only Meter _ Mo awirna�r . �ts�.ou�toe� � aewoe osow�a[ o■ow�o[to � ��� . l ��� �� . � . �� � . . ��� , � . ������ . =s-��i�e�t ec�tiaM v�vo � � � `t�a�o mrr�x v� • 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 ca11236-5052. 3. Meters>_ 1-1/2" require a bypass. Meter(s)will be instadled and used according to the above information. � . � � �� Signature of wner or Agent Print Name of Applicant and Company