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CITY OF OSHKOSH W ÁTER I)IŠTRlBUTION
WATER METER PERMIT
(please Print)
Date: 17{_').':?-Of
Meter( s) Installed At: II q I H.e; t: l-ti"'",~V'-
NameofOwner._eVv$t/V\. K()~')
Address of Owner., 'PQ~)C 4 d- '3 O,¡v'I tv
Meter(s) Size: . ~Z{
Meter(s) Use: Check the Use(s) that apply.
VIs.:
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Typical New Construction
Single Meter
'f
, Typical Multi-Unit, Multiple Meter -
..IIIU.."'-V-
'~ ~
~
~_1O
--..........-
_10
~~..:--
1----
---_V-
Typical Deduct Meter
... .....""
--
........-
Typical Water Use Only Meter
_10
---
--""'V"'"
+~
F:: :
I -----
...- ......- VALVE, ,
........-
--
...........
. r_~ y~.
.....
-10
---
.. /"
--- _1Il1\A'"",VAL-
--=-ø.VALW
Note: I. A Plumbing Pennit may be required prior to the installation of the issued water
meter(s). '
, 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, excepta hgme
owner may perfonn hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
inst!dled and used according to the above infonnation.
/'S /$$ fL(f(t!l 8/IVG L-I/C-
Print Name of Applicant and Company