HomeMy WebLinkAboutWater Meter - 05/20/2013 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date• "2 o- �
Meter(s) Installed At: +'m � 73 � � . � i s�y�3
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Name of Owner: �
. Address of Owner: � r v' � �' � � 2
Meter(s) Size• f �n� 1�
Meter(s) Use: Check the Use(s) that apply. �
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Single Meter _� ,��+►*���
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Typical Deduct Meter Typical Water Use Only Meter �
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Note: 1. A Plumbing Pertnit 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 ins ed 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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