HomeMy WebLinkAboutWater Meter - 12/02/2003 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print) �
Date: ��-���r 3 �
. Meter(s)Installed At: �y �' a �°"� `� r' ��� � ��`'�`
Name of Owner. �T�h-,�. S c-�•.-��� D� ,-S c� •�-��--�--�
- Address of Owner: �.� `� D L-.t: 1 t M ��-rr �-� 0..�'ti l.c��+--� ��; S�{�v y
Meter(s) Size: �e`�
Meter(s)Use: Check the Use(s)that apply. �
Typical New Construction .Typical Multi-Unit,Multiple Meter
Single Meter rat�.ou►�w�ura
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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, ovmer occupied
home. For inquiries please ca11236-5052.
3. Meters>_ 1-1/2" require a bypass. '
Meter(s)will 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