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HomeMy WebLinkAboutWater Meters - 10/31/2013 0/31/2013 THV 7: 46 Fr�x 920 733 2713 wattere plumbing �001/001 • ���(� 9�°� '36 0$`� . � �� r� OS�QSH 'WA1'ER AIS�`1t�LrTION a CTT'S� OF C�La� j?Vt�.TER, METER PE�►�T , , . �p�� �� � .N/e �e�s : , , D�t� /�-3 I- loi3 ' - ' �� C.G,.� e . A � C �0 � � , �Mete�r(�)IsatAll�d At� �°�,� �t'1:� `�'o�� � I � Nama ot�w►ner:�Q� j �d� � Q�.��2c.l,�_o•L,�, r . • Adtlrees ot Owrn�r • + o I sY 90 y Meter(a)SI�:_._...��� , ; Meter(s)Use: Check t�he U�e(s)thst apPb►• � . . , . �/y `�� : . � k TYP�cml New Co�struo�io� ,Typic�l Multi U�lMuldple Me�er : . S6agle Me,ur __._,___r_ �we�w+�«�� . .�""e""""°' � � � . ' , ��� .,•--�-�—.�ea�.�ou�t�o�w�wa . �`"`t��a o�er.vxr� • , � �,��e�w�ia Typical Deduct Metet Typica� W�wr i.l�Cenly 1V�eoe�r � • � Mo..�n�a. . �■ew�utRnrwn� . a�wtero�.�ot �rew��TO � - . � . �� 1 � . �.�,► . �� , . . . � . � � . �. . � • .�� � � � � ,� � . ' `�.�.�„"�,�,,; �'--r—��r�e��v�, � . ' `�rsa.i.��.re�t� � � , � Nate:• 1. A Plumbfc�Pexmit�nay be Kquir€d pnior to thc insta�l�tion af th�issued watct metez�(�). , ' 2. .A�1 p�umbing mast bc cox�duct�d by a Wis�onsia Licen�d Plumbet,excapt a home ow►nc�may perform his/laer own plumbing w�thun tloe�e�ingla family,ow,ae�r accupied bomxe.For inquiries please c�l! 236-5052. 3. Motars_> �-a/z"coquire a bypass. Mcter(s) ' led and usod acco�tiiing to the sbove i�forme�io�,. � ' � ' � _ ���r�N�e f�ai� : � q�fe« 1' d«� '�� ... ' � Signatu�of Owner or A,�er�t Pni�t Nsmc af A,ppLicaat aad Cou4pauy