HomeMy WebLinkAboutWater Meter - 03/29/2010 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Ptease Print) �
Date: �
. Meter(s)Installed At: - � �
� Name of Owner.
- Address of Owner. � � ��
Meter(s) Size: �" �
Meter(s)Use: Check the Use(s)that apply. �
Typical New Construction ,Typical Multi-Unit,Multiple Meter
Single Meter �_ �e.oun�wiure
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Typical Deduct Meter Typicai 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 ca11236-5052.
3. Meters> 1-1/2" require a bypass.
Meter(s)wi 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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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Ptease Print) �
Date: �
. Meter(s)Installed At:
- Name of Owner. ` '
� Address of Owner. � `
Meter(s) Size: t S��" .�°"�"'
Meter(s) Use: Check the Use(s)that apply. �
Typical New Construction � .Typical Multi-Unit,Multiple Meter
Single Meter raroe.ou�w�e
a�ow�asto . �
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Typical Deduct Meter `` Typical Water Use Only Mcter '
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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 hislher own plumbing within their single family, owner occupied
home. For inquiries please ca11236-5052.
3. Meters> 1-1/Z" require a bypass.
Meter(s)will be ' led d us according to the above information. �i�j Q,y� ��i�
S
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Si ture of Owner or Agent Print Name of Applicant and Company
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