HomeMy WebLinkAboutWater Meter - 10/14/2013 CITY OF OSHKOSH WATER DI5TRIBUTION
WATER METER PERMIT
(Please Print)
Date: �Q��� �s� �
Meter(s) Installed At: %��°r� i-h=`=u�',s�•.r 4--'�,,,t j�-
Name of Owner• �.1��'- M,�� �'�"������ "
Address of Owner: ��'s� �*��'�-�'�t� �'y'��'
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Meter(s) Size• ,
1Vleter(s) Use: Check the Use(s) that apply.
Typical New Construction� .Typical Multi-Unit, Multiple Meter
Single Meter .�ecu►���
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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 installarion 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 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