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HomeMy WebLinkAboutWATER METERS CITY OF OSHKOSH W ÄTER DiŠTRIBUTIÙN WATER METER PERMIT (please Print) Date: :rv\ \f \Lt-OS \¡} Meter(S)InS~lledAt: ~ I'"¡<{S ~cA-(:.)<er.AIJ.Q... NameoCOwner. c-ur+,ss-. ~~rv-..eç: Address of Owner. '-t 0 \,ù. A-v< Meter(s) Size: :Vy . Meter(s) Use: Check the Use(s) that apply. Typical Ne.w Construction. V ' Typical Multi-Unit, Multiple Meter - Single Meter ~ __VOLOa . ~ ~ -'ID ~. '---:::-- 1---- ~. -'ID -- -....- ....---- Typical Deduct Meter 1ICI_1Rt -- .....- Typical Water Use Only Meter -'ID --- -_VOLOa r-~ f--o-:~ ~. I '-.......--_VA&.VI!" IICI_- -- AWIMD 'r~ ....,.,. JI'1 -'ID ........- - )'" ---- _""",._VALVD --=-Q.V- 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 hQme owner may perform his/her own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters;:: 1-112" require a bypass. Meter(s) win be inst!dled and used according to the above information. ,~.~tJ'~ 5éOtt- E¿r9s 'F;€.-lY5Plv~;,~ Signature of Owner or Agent Print Name of Applicant and Company ...{4/1. C- CITY OF OSHKOSH W ÄTER DišTRlBUTIÙN WATER METER PERMIT (please Print) Date: :::;')"1 \ l\ -ò 5 vJ Meter(s) Installed At: f) q ( . P a.. vk.e r M ~ Name oCOwner: (:, Ic-+~<; SO ~ A-\eS Addr~s oCOwner. '-to W~ b A-v R- Meter(s) Size: . -:y y , Meter(s) Use: Check the Use(s) that apply. Typical N. ew Construction V. Single Meter --þ- , Typical Multi-Unit, Multiple Meter - ----- , ~ ~ -'ID ~,:::::- ,----- ~ ~_'ID -- -....- ....--_v- Typical Deduct Meter 1ICI_1Rt -- .....- Typical Water Use Only Meter -'ID --- --..._v- +~ F: ~, I '-....... ---_VI!" IICI_.... -- AWIMD 'r~....,.,. ~ -'ID ........- .. )', ---- -...""._v...... --=-Q.v"", 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 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. M~ insta11e~ and ~ed according to the above information,' . " t~ <"éott f~Jj5 f;ðJs NVr\1!;¡(J Signature of Owner or Agent Print Name of Applicant and Company --r- -+-Vl~