HomeMy WebLinkAboutWater Meter - 08/23/2013 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:�"J��23/I'�
Meter(s) Installed At: � � � � ��� ���--��� �r' ' � ��
Name of Owner. L f��.l 2iv� ���.� � i w� � ��/JF
Address of Owner: _ � C x z� 6 C� � '�(QC�
Meter(s) Size:_�c/�
Meter(s) Use: Check the Use(s) that apply.
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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. rs> 1-1/2" require a bypass.
Met . s) will e ' 1 d � ed according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company