HomeMy WebLinkAbout2013-Water Meter CITY OF OSHKOSH WATER DISTRIBITTI�N
WATER METER PERMIT
(Please Print)
Date: ��`` '; �
Meter(s) Installed At• �Z'v Sr� �°`=��r'` ��`��` .
Name of Owner: �li'an�t ���tlo�.�,,f t2t.�v �/,�;>l(« S+�-�,-�+- Li..L
Address of Owner: Z,3C= ��•�� 5t'rtzt- 5�;+-�Zc^� �
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
home. For inquiries please call 236-5052.
3. Meters> 1-1/2" require a bypass.
Meter(s) will be inst�lled and used according to the above information.
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ignature of Owner or Agent Print Name of Applicant and Company