HomeMy WebLinkAboutWater Meter - 07/15/2013 CITY OF OSHKOSH WATER DISTRIBUTION
� WATER METER PERMIT
(Please Print)
Date: ��1�15�.20(`3 �
Meter(s) Installed At: �d r�7 �.�QC,��� s �
Name of Owner• � e� ' -�'v' '-�
Address of Owner: �C75'C� Sc>��-f)-, G r�,�,� �� .S-�
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.
Meter(s) ' be ins 1 d and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company �f h:
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