HomeMy WebLinkAboutWater Meter - 11/11/2002 CI
TY OF OSHKOSH WA,TER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date• /� ��
Meter(s) Instalied At: ay� ���� � 02•
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Name of Owner:
Address of Owner. � ; � ^f `"' �r�J� �a� ���
Meter(s) Size: �!`� � �
Meter(s) Use: Check the Use(s)that apply.
Typical New Construction .Typical Multi-Unit,Multiple Meter
Single Meter � '�`°O"1°"�"L1° .
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Typical Dedvct 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 used according to the above information.
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Signature of Owne or Agent Print Name of Applicant and Company
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