HomeMy WebLinkAboutWater Meter (C) - 09/03/2013 , .
CITY OF OSHKOSH WATER DISTRIBUTION
WATER ME�TER PERMIT
(Please Print)
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Meter(s) Installed At: Z.22^Z. � ��,��� �,v��,� C�
Name of Owner: �� �•�,�.��-c��. \ �,k.;��-� ����
Address of Owner: _I �� z�� ,�l< ..�..�. .._
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 installarion 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 installed and used according to the above information.
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ignature of Owner or Agent Print Name of Applicant and Company