HomeMy WebLinkAbout20132Water Meter Permit 04/09/2013 TUE 12: 39 FAX 920 733 2713 Watters Plumbing 0003/003
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Menne Print)
. D 1 /1/11._
'Meter( )Installed At 4 S 2. U2, i • e.wnc�cQ. Dt. _ .
Name of Owner: MIct.we$•f' Gestiut-,.-f Cch ;-o,,c, ors .. . , ..._.
Address ofOWo r a`t49 Uhivitr5a.1 St. Qskkcyki W: . .>/ 9o1
Meter(s) Sze° ''
Meter(s)Use: Check the Use(s)that apply.
Typical New Construction ,Typical Multi-Unit,Multiple Meter ,.--,_..__-_,
Single Meter ✓ wRaoaewrraranncwerwwsri
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-er- ... ---A6w%ism R 1%mutts • • - a r.ai_:111
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Typical Deduct Meter• _ . Typical Water Use Only Meter , • _..
,. an aLaanewretr . ` 1111111MINCSAIllfi314WALMS
MEMO RIZIONANCIE OINOMAPMW 702 6;
ALLOW= 8u6M1BAIMP MOM . -~'''''''''�'''',,,1� 112 iNillfPklRtf
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.. ..:.,.m.........e........._;... OntEMAIINIX 1ft '
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Note:• 1. A Plumbing Permit may be required prior to the installation of the issued water
maeter(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 7- I-1/2" require a bypass.
Meter(s) will be installed and used accorrna--- •, the above information.•
Signature of Owner or Agent Pri