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HomeMy WebLinkAboutWater meter permit . Date: ~! I,~/O". I CITY OF OSHKOSH WATER DISTRIBUtION WATER METER PERMIT . I C (please Pri~t) jll J p r fdtltJ - '/ ~9q Meter(s) Installed At: H~, L Name of Owner: L~ F . r:J I ~ . Address of Owner: .fYV. ~~. il/!'" Meter(s) Size: J. Meter(s) Use: Check the Use(s) that apply. 'SOl J'V14d/-s.c", wi r9'11 Typical New Construction Single Meter . Typical Multi-Unit, Multiple Meter IIUIIt ....,.11QtIVALVD . "" .. I. L~1'CII .....-~- I' . ~ -MalltIlCl&ATlCllfVALVD . . ----...-ac:lNl'RClL vALVE ~. ---.::: ""71_TO ~ 1MIfM'f'1llWD ..-__CCIIII'IIX. vALVE Typical Deduct Meter NO UlllfAll't 8WDCI8CIJr_ I>""" V_TO AU.DWI!I) _AIft'allIlIJI Typical Water Use Only Meter 1lIlft1!IIIICILA'IDt v..... +~ NO IIMIrAlft' ..... """CN4\". A&.I.DWID fJ DOlI...o.,_Ta .....AIft'S1IWD .. .. /'. ______ ....1IGIo..iQtt VALva ~currQ.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. I ~ ~COImIIClLVM.vi . Meter(s) will be insurlled and used according to the above information. ~~ 4 . ~ / Q>- f;;,-/-t r/t5e- .z:-~ Signature of Owner or Agent Print Name of Applicant and Company