HomeMy WebLinkAbout2013-Water Meter CITY OF OSHKOSH WATER DISTRIBUTI4N
� WATER METER PERMIT
(Please Print)
Date: � � - I% � ��
Meter(s) Installed At: �n C� Z �v�,c.��G�c�L�. � k
Name of Owner: �L J5 i�SS(?t�- �
Address of Owner: ,Sfv Cv rll R /'�.r�i� �' ��Cc.l���
Meter(s) Size: �i�`
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction ,Typical Multi-Unit, Multiple Meter
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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 'll be ins d and used according to the above information.
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S�ignature of wner o �Agent Print Name of Applicant and Company
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