HomeMy WebLinkAboutWater Meter - 07/11/2013 CITY OF OSHKOSH WATER DISTRIBIJTION
WATER METER PERMIT
(Please Print)
Date• � J � � � l�
Meter(s) Installed At: ��` 1� �`��"`` �' � �`�^je-
Name of Owner: 1�55• I-� � � ���.�---l-y �
Address of Owner: lZ l�i� U- �^-� h��.� �'�}+-° �
Meter(s) Size: 31�t ,
1Vleter(s) Use: Check the Use(s) that apply.
Typical New Construction ,Typical Multi-Unit,Multiple Meter
Single Meter _� �sseeouno�vwns
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Typical Deduct Meter Typical Water Use Only Meter
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aervoe caow�os osowiorro •
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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 i tadled 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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