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HomeMy WebLinkAboutWater Meter - 10/13/05 CITY OF OSHKOSH W ÄTER DIĆĄTRlBUTION WATER METER PERMIT (please Print) Date: Ie 113/es Meter(s) Installed At: '75" 6-/ßSc-/.- coG.{fl'i Name of Owner: ¡-J. u.,.! riA-I-- 14 c; ncr-'} Address of Owner: :?> s <-i '- L 0" I .s IE C ~ (..,{ íL r Meter(s) Size: ~/.<.¡" . Meter(s) Use: Check the Use(s) that apply. "oS 1+1\0<" i-l- Typical New Construction Single Meter ~ . Typical Multi-Unit, Multiple Meter - -_V- . ~ ~ _TO kZ;.:::- 1---- ~. _TO ....--- -M'l- .....--caoma.VALVE Typical Deduct Meter ..._.ø -- ~ . r- . ....",". ~ Typical Water Use Only Meter _TO -.....- _8U1DIV"" r-~ F.: : I ~............-. VALVE. . ...-..... -- AU.- -TO .........- .. )'.. ---- ..mIlUll:IA."""VALVD --c:urr.a.v.....", Note:. I. A Plwnbing Permit may be required prior to the installation of the issued water meter(s). . . 2. All plwnbing must be conducted by a Wisconsin Licensed Plwnber, except a hQme owner may perform his/her own plwnbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters 2:, 1-1/2" require a bypass. Meter(s) will be insta1led and used according to the above information. ~~ Signature of Owner or Agent ?kl?6- $c,j.h/Ð7 pI!-') PLß C- Print Name of Applicant and Company