HomeMy WebLinkAboutWater Meter - 09/05/2013 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: ��l /U��-��3
Meter(s) Installed At: `'� C�� � � �
,�Name of Owner• � •1 , � 1<�1 � �'�- '�-L.l,l �N ���s2vi�i�J —
Address of Owner: _ 3t'- �N�1 �IC�3�("
�Meter(s) Size: 3 • �. � F'� �l-�-Fal�'�E :
Meter(s) Use: Check the Use(s) that pply. �"'� ��'-)��'`�` `
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Single 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
ovmer may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please ca11236-5052.
3. Meters> 1-1/2" require a byp�ss.
Meter(s) �Y�be inst.�lled and used according to the above information.` �
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��ature of Owner or Agent Print ame of Applicant and Company�
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