HomeMy WebLinkAboutWater Meter - 06/11/2013 CITY OF OSHKOSH WATER DISTRIBUTION
- WATER METER PERMIT
(Please Print)
Date: 6/1 1 /1 3
Meter(s) Installed At: 2 8 4 9 Home s t ead �
Name of Owner: Charlie Wilson
Address of Owner: 2849 Homestead
Meter(s) Size: �/�} . ��
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.
M�ter( ) will�be instaclled and used according to the above information.
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�f . / r _ xj1z��� B. Mike Sammmons - Sammons Plumbing
�ignature of Owner or Agent Print Name of Applicant and Company
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