HomeMy WebLinkAboutWater Meter (A) - 09/03/2013 . . i.
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
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Meter(s) Installed At: Z Z Z Z.� !�` �D'�- ���v�- t A�
Name of Owner: �l � C����-f�_'•. a.� ���,s�ti'�vK.�•��.
Address of Owner: l`'134 �1\��,.�.� 1��v1� _
Meter(s) Size• 3�4� _
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. Meters > 1-1/2" require a bypass.
Meter(s) will be inst�lled 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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