HomeMy WebLinkAboutWater Meter CITY OF OSHKOSH WATER DISTRIBLJTION
WATER METER PERNIIT
(Please Print)
Date: g�` //lC�
Meter(s) Installed At: '� �� L I C/, c 57 2 �'��
Name of Owner. I> r� +� �- `� !�-/- o r� c�s
Address of Owner. 1 `� `� � f5 �Lsc`!. s�rn �zsr; e s l�i-1� os t!-
Meter(s) Size: �'�`i `' .
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit,Multiple Meter
Single Meter � ��u+���
�-..
o�u�[to
��aiwr�wraewa �
"�`osew��o
� . - f a+wrwnawe�
��rsrumou�avKvn
`��uaouo�wmacvavc
r�an�omrtav�
Typicai Deduct Meter Typical Water Use Only Meter
MO iM�fYlP . . Itiet�a7OlY�LYQ •
lWOIOVOMII� ��MC[7D �
� ��� l
���
- � ��
�
" mowm m
w�r�acrroe
V �
�Y.OUYCdP111OlVKVE .
~YtilR OLY.tiOM VAWO � '
��iOM7 C1NlAT.VAW[ .
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 cai1236-5052.
3. Meters>_ 1-1/2" require a bypass.
Meter(s) will be inst�led and used according to the above information.
/fi� �r�l�� Gl1 �! s �i�niiJr l�d� ✓��qG.
Signature of Owner or Agent Print Name of Appiicant and Company