HomeMy WebLinkAboutWater Meter - 03/22/2013 �
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CITY OF OSHKOSH WATER DI5TRIBUTION �
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WATER METER PERMIT `
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(Please Print)
Date: � �2
Meter(s) Installed At: 9�c �� �+-����+� �s �
Name of Owner' �u�N S ��A� �c�n�G-) -
Address of Owner: ?o � k
�� Meter(s) Size: � �t � � , �
� Meter(s)Use: Check the Use(s)that apply. � ;
Typical New Construction .Typical Multi-Unit,Multiple Meter �
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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 €
ovmer may perform his/her own plumbing within their single fatnily, owner occupied �
home. For inquiries please call 236-5052. �
3. Meters> 1-1/2" require a bypass. °
Meter(s) will be inst�lled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company �
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