HomeMy WebLinkAboutWater Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: ' �l�wc,�� ��9;� � �
� Meter(s) InstaUed At:�f� ��s,y� �Q�/
Name of Owner: i �� Av�i -� �
Address of Owner: � t� !,�-;�f� o � •,,o
�.
Meter(s) Size: }i� �� ;,-, �� _�r,
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter �_
Single Meter � �aso�wnowv�uRs
�
o�owwt ro R
��s�wrr�uer se�
� \�t�
s�wrMr
�—�t�nounoN vKvet �"�
•`w+�o�+a carrnat vKVE �
rwa�oeartwo�vKVE
Typical Deduct Meter_ Typical Water Use Only Meter �
Mo a�+�Ner
seweie ouoweo� o�awac ro �eit aoutnM vKvp
� ��� j
���
��
�
��
���
� �
�����
�YETEJt 1=O�AflON VKVE�
M�DNO COMII�OL VAWE
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 ca11236-5052.
3. Meters> 1-1/2" require a bypass.
Meter(s) will be install an ed according to the above information.
. �
_.,
- z G � �� ��
Sig ature of Owner or Agent