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HomeMy WebLinkAboutWater meter permit CITY OF OSHKOSH W ÄTER DIŠTRIBUTION WATER METER PERMIT (please Prillt) Date: r 12~{&Ç Meter(s) Installed At: I 'Z 5 5 H~..J "; Name of Owner: R Lo.$c.k He".,e..S . Address of Owner: \),/">o í3c.'¡(' 1.(2-::- Meter(s) Size: '3/'1." Meter(s) Use: Check the Use(s) that apply. /4,. \X vi.. Typical New ConstrUction Single Meter 'f . Typical Multi-Unit, Multiple Meter - _18I&A1ØI v...... . ~ ~ -'"' ~.::::- 1---- ~ ~-'"' ..--- -......- :.-----_v- Typical Deduct Meter ... _16lf -- ............ Typical Water Use Only Meter -'"' -......- -..,.-- r-~ F~ ~ I ----- -- .....-. VALW '. ...-...... -- ~ -'"' -"""RWIII .. /., ---- MØI1IIIGA"'.'VAL- --CUII'MLVALW Note:' I. 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 hQme owner may perform hislher own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters~ 1-112" require a bypass. Meter(s) will be insudled and used according to the above information. ~~ ~~5 Yi~~ì , LL L Signature of Owner or Agent Print Name of APpli2t and Company