HomeMy WebLinkAboutWater Meter - 08/08/2005 CITY OF OSHKOSH �VATER DISTRIBUTION
WATER METER PERMIT
(Ptease Print)
Date: r8��`S
, Meter(s)Installed At: 3�3 � �N�p,� `S�"
- Name of Owner. �^` �
- Address of Owner. s'¢�e
Meter(s) Size• -
Meter(s)Use: Check the Use(s)that apply.
Typical New Construction .Typical Multi-Unit,Multiple Meter �
Single Meter � ���"'"�"'a
. . � .
o�owaeto �
��a+wrr�+e+r a�ot . .
�� osoMwoi�o
�/a�Mrr�r sewe�t
� w
..�—i�crsa uou�+ou vKvo
`�,uao�w ea�n+eo�v�xc
rwaoNaean�v�
Typical Deduct Meter_ Typical Water Use Only Meter _
No awr�uar , reraesou�v�es •
aewoe000��w[ o■ew�otto
� ��� l p��
��
- �
. � .
��
. ���
,
� ������ .
l . , . :
=-���rs�e�utia�vKvo
��sa�+a a�r�c v�wE
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.
Nieter )wil be instadled and used according to the above information.
� �.,�}-s��f J� �(� ��- � _
Si ture of Owner or Agent Print Name of Applicant and Company