HomeMy WebLinkAboutWater Meter - 11/25/2013 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT :
(Please Print)
Date: � � '��S ' � �
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Meter(s) Installed At: � c
Name of Owner• !���:11� t� C� � ��r� - �:J r� 1�;'T(-f��- (�c�>t�:� r�Zi,�C'rl( l�t�
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Meter(s) Size: �-''�ti '� e � -
NSeter(s)Use: Check the Use(s) that apply.
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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 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.
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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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