HomeMy WebLinkAboutWater meter permit (04/11/13) CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: t/%///3
Meter(s) Installed At: 1 5 M A cre .
Name of Owner: (7,,,26.4,R ; 71c
Address of Owner: Af e,, 5'19 IN—y`1 No
Meter(s) Size: Sly e,
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
12, (4)0 5933