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HomeMy WebLinkAboutWATER METER (2) CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (please Print) . Date: 5J3t/O~ Meter(s) Installed At: 157 ( w. Sov-.H.... p~ AVo<. Name of Owner: De"l......v B.-o.CL+c.. Address of Owner: 23tj ef Co """-Co..j... S f-r-4Lt..#- Meter(s) Size: - :yq" Meter(s) Use: Check the Use(s) that apply. / Typical New Construction Single Meter . Typical Multi-Unit, Multiple Meter IIK1B --.A1DIVALVD ~ ... .-~_TD ..,..,-UMfM'l' ..... _J' ... .-nil lIGLA....vALVD . ---- ~CQNIItCLVALVI . -- ~~- w.D.TD ~ UMrMY'1aWD ~~c:mma.VALVI , Typical Deduct Meter 110 UMrIll't _D.C1~_ AU.DWI!ZI Typical Water Use Only Meter ..wBI..x.A1DIV..... ~TD __MY'_ , +~ IIOUMrMY' ... .....,...... AWMID .. . ....,.-- "~TD UMrMY'_ '.. )' ~ ..... _UiiDNVALVD ---- __c:Dn"el.VALVI 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. I 41'" ~cmmlCLVALVE . Meter(s) will be instxlled and used according to the above information. U~ Signature of Owner or Agent O'k)eii.( F1. t-rl C k 0" {lJ e;'/, f J'L-h .-rr~S' X,u'_ Print Name of Applicant and Company