HomeMy WebLinkAboutWater Meter - 05/14/2013 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print) �
Date: c�S/(`� ZU1'3 �
Meter(s) Installed At: ?���, ��•��-� ��
Name of Owner: �y '�^�'"^^�b���'`^��
Address of Owner: `_�3�� � '� � � �`�� '��3�''
Meter(s) Size• 3 `�' ``
Meter(s) Use: Check the Use(s) that apply. �
Typical New Construction ,, .Typical Multi-Unit,Multiple Meter
Single Meter '�Y r�ra�sou►*���ur�
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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
owner may perform his/her own plumbing witlun their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters> 1-1/2" require a bypass.
Meter(s) will be instaclled 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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