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CITY OF OSHKOSH W ÄTER DrSTRIBl1tröN
WATER METER PERMIT
(please Print)
Date:."2. - /3 -0 ø
Meter(s) Installed At: Izœ rJ, E'\'J \e:. 5"¡' ,
Name of Owner: T~1'1. Mr Wr~o.r .
Address of Owner. ?J,,60 VAt I::: lJ :e.uJ U. OS ì. k t><õ. Í1.
Meter(s) Size: ~/q'" . .
Meter(s) Use: Check the Use(s) that apply.
Typical Ne.w Construction if'"
Single Meter --r-
. Typical Multi-Unit, Multiple Meter -
--""/DI-
° '" ~
--m
Fo ----
. --_ISCU.-- °
----_v-
~ ..
-'11:1
-- -....-
:.-----_V-
Typical Deduct Meter
...-"'"
--
AWIWII!D
Typical Water Use Only Meter
--m
-....-
-........-
+~
h.: ~
I ~ -- -. VALVE. 0
...-....
--
~
-'11:1
-....-
- /' o'
---- _1II.v.~iCIIIVAL-
--caor_VALYI!
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 ~ 1-1/2" require a bypass.
Meter(s) will be insùdled and used according to the above information.
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Signáture of Owner or Agent Print Name of Applicant and Company