HomeMy WebLinkAboutWater Meter - 05/10/2013 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print) �
Date• S- /O- �� .
Meter(sj Installed At:
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Name of Owner: o �s� �^ i� -�
Address of Owner:�o d�o.(��/��3 �Jn, ►^a ��riL
Meter(s) Size: �/N '' � ,
Meter(s)Use: Check the Use(s) that apply. �
Typical New Construction ,Typical Multi-Unit,Multiple Meter
Single Meter _� �eoun���a
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Typical Deduct Meter Typical Water Us�Only Ivl�4er
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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 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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