HomeMy WebLinkAboutWater Meter - 12/10/2013 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
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Meter(s) Installed At: 3�C $ .�_.��ni=/ji� Si :
Name of Owner: ��T�i= % .z r�Y'' '�G►�7�
Address of Owner: :� �v�- a K��c-l/c�✓ Sf
Meter(s) Size: '/���
Meter(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.
Meter(s) will be inst�lled and used according to the above information.
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��` c Signature of Owner or Agent Print Name of Applicant and Company
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