HomeMy WebLinkAboutWater Meter - 09/16/1997 .
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date• (�
Meter(s) Installed At:_ � � D � /VO�T e� /�iP/r
Name of Owner: �i(�i St� C�Si�t/ aP�n��C�' ' ,v T,�'�LS oii/ ) '
Address of Owner: I�"la5 /�ID�Tf,�_/�,PLl��
Meter(s) Size: ��t`
Meter(s) Use: Check the Use(s) that apply.�QS2 (�tCP�(�,�1;/)'1
Typical New Construction Typical Multi-Unit, Multiple Meter
Single 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 thier single family, owner occupied
home. For inquiries please ca11236-5052.
3. Meters> 1-1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
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Signature of Owner or Agent