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CITY OF OSHKOSH W ÄTER DISTRIBUtION
WATER METER PERMIT
(please Priat)
. Date: ~/lo/ OG.
Meter(s) Installed At: C!(f '~~¿ih
Name of Owner: CI
Address of Owner:
Meter(s) Size: ')-11
Meter(s) Use: Check the Use(s) that apply.
~.
Typical New Construction X
Single Meter
. Typical Multi-Unit, Multiple Meter -
_8IIA_VOUIØ
. ~
,....
_1C
~. c.."::::-
1----
~_111
~_.....-
.....--_V-
_1C .
-.....-
Typical Water Use Only Meter
-~"'VOUIØ
+~
f-a-: ~.
,~
----VALlIE. .
Typical Deduct Meter
... _ARt
--
..........
...-.....
--
-
-1C
--.....-
.. )'.""
---- _lII.'I.A\....VAL-
--=-_V.u..vI!
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, except a hgme
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please can 236-5052.
3. Metèrs~ 1-112" require a bypass.
CITY OF OSHKOSH W ÄTER DìšTRIBUtlùN
WATER METER PERMIT
(please Print)
Date: . '1/~/d(p.
Meter(s). InstaJled At: (p l¿ ~ I ~B"~ I ~ ~.st ~ IJ1ë.CJfh-ll c.A L-
Name of Owner: ~ (I - ....:." oS
Address of Owner: c>sf/e~- 'rJe. S
Meter(s) Size: Ã-"
Meter(s) Use: Check the Use(s) that apply.
ßVt c..ðl ì\JG
Jl:ø. .
Typical New ConstruCtion V
Single Meter ...L::::-
. Typical MlÙti-Unit, MlÙtiple Meter -
...............-
. '"
~
_10
~ ..;..:--
1----
~_TO
,...- -....--
---_v-
Typical Deduct Meter
.... UMfI6lr
--
............
Typical Water Use Only Meter
_10
-....-
"",,""""V-
r-~
~~~ ~.
I ~--"""-'VAL"'..
....-.....
--
AU.Dwm
-TO
-....-
- 1'.,
---- Ø1!IIIIlv.'J-VAL-
..... caor- VAL'"
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.
d according to the abZ ~Te;\)~rt\ ~e ~ !-tt's P l~~
I,.
Signature of Owne or Agent Print Name of Applicant and Company