HomeMy WebLinkAboutWater Meter - 10/02/2013 CITY OF OSHKOSH WATER DISTRIBIJTION :
WATER METER PERMIT
(Please Print)
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Meter(s) Installed At: `-f5 l_) t C:iZ}Y�(�� �-l
Name of Owner: ,� i�.��k�� �v�rl�:r �
Address of Owner: _yC/� `� �� ��i. 6S�%��,�1,!
Meter(s) Size: �'/4 ''
Meter(s) Use: Check the Use(s) that apply.
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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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