HomeMy WebLinkAbout2013-Water Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date• 8 Z' '3
Meter(s) Installed At• �z 1 C,: S, kc z�t�.- 5�-���- .
Name of Owner: �l f'�Gn�t i����.i o,z.;K.2�- ��Z�v V�,�llt;S+rt��i- i_1_L
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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 instaclled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company