HomeMy WebLinkAboutWater Meter - 07/08/2004 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: �7 i�8 O`1 �
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. Meter(s)Installed At: 3Z-�� ����sc,..• S�-f-r���
Name of Owner. No�a �;��x-��'�i�► �'�M�-f�
- Address of Owner: r� ass � ,
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Meter(s) Size• -
Meter(s)Use: Check the Use(s)that apply.
Typical New Construction � _Typical Multi-Unit,Multiple Meter
Single Meter � ���011�'°
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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 plurnbing must be conducted by a Wisconsin Licensed Plumber, except a home
owner rnay 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 e installed and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company .