HomeMy WebLinkAboutwater meter (08/05/2013) CITY OF OSHKOSH WATER DISTRIBIJTION
WATER METER PERMIT
(Please Print)
Date: �cr�'��-3�
Meter(s) Insta[led At: �� 1�-1 t/� C-�S�G"'-' � �'
Name of Owner: F���^ ���c� �--G G -� �n� i1 Tt.-�s-�-� �
Address of Owner: _
Meter(s) Size: 1 •` ' _
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: l. 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> 1-112" require a bypass.
Meter(s) will be inst�lled and used according to the above information.
� Sr� ���, ; �'�.��,� J�- 7" S������ � �L��`
'ignature of Owner or Agent Print Name of Applicant and Company
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