HomeMy WebLinkAboutWater Meter - 06/21/2013 CITY OF OSHKOSH WATER DI5TRIBIJTION
WATER ME�TER PERMIT
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Meter s) Instatled�t: � � � � � � v � `^� �`
Name of Owner: (~-'��.�� �^^ ` T`� '
Address of Owner: _ {� �_� ��� - s� Z- - _ _
Meter(s) Size:��/ ,
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction .Typical Multi-Unit,Multiple Meter _��
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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 within their single family, owner occupied
ho . or inquiries please ca11236-5052.
3. eter > 1-1/2" require a bypass.
Meter will used accord' g to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company