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HomeMy WebLinkAbout2006-Water Meter 390 CITY OF OSHKOSH W ÄTER DIŠTRIBUTION WATER METER PERMIT (please Print) Date: ~ (.f ~O b Meter(S)InstalledAt:"3'l6 wesTbfodk ~{' NameofOw.ner. r~v~+ c...u~~N'\. tTot'V\.e-S Address of Owner. _oW I ~e N}I Lc...V\.-e.. Meter(s) Size: "'Yc-¡. . Meter(s) Use: Check the Use(s) that apply. Typical New Construction. V. . Typical Multi-Unit, Multiple Meter - Single Meter ---L:::: _.......-v..- . '4: ~ -'ft ~..;-=-- 1----- ~. -10 ---.....,- .....--_v- Typical Deduct Meter ... _Mlf -- ........... Typical Water Use Only Meter -'ft -"""- --......v..- r-~ þ:: ~ "----CCIIIIIICI.VALw.. ... ....""" -- A&.&ØW!D 'L~ -TO """""- .. ./. ---- -_:u."""'VALVD ...-CßII'oft.VALW 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 inst!dled and used according to the above information. 5~~ 5¿ø-H-F-:e.\J..s . F.eJ.ks ~\~b~ ~ Signature of Owner or Agent Print Name of Applicant and Company