HomeMy WebLinkAboutWater Meter
CITY OF OSHKOSH WATER DISTRIBUtION
WATER METER PERMIT
(please Priat)
. Date: ., - '2U -o(~
Meter(s) Installed At: '5"80 C;;.. Y1b \ \ e r s+-.' . . ~ .
NameofOwner:..j"..", ~!i~~5'~ R.~~rMH- ~) .
Address or Owner: '.<a:'"L\ ~~__~ _ ~b\U~ ~ w_ C"4t;o'
Meter(s) Size: f1'2.. \l . . .
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction . /
Single Meter V
. Typical Multi-Unit, Multiple Meter
..... ..xA1ICIIVaLVD
. "i
..
1 ~..ft)
.,..-........1I!MIl
-I'
...- IIKIIIlIICLA1DtVM.VD .
---- ~c:c.ma.YALVE
~.
~NIaY'-TO
~ lMIfNn'aawD
..........=-na.VALVE
Typical Deduct Meter
110 Ulll'rARr
.-aCl:ICIll'_ ,.. l~_TO
AI.I.DWlI!D --....-
-L.~--
Typical Water Use Only Meter
....1ICILA_v.....
+~
110 ......uw
-"'SeW"
AW:IWl!D
.,..~._TO
UM1'.uw_
I ~ -.ma CCIJllI'RClI. YALVE .
Meter(s) will be insudled and used according to the above information.
Signature of Owner or Agent
LvVt t- r+ ~~(.tC- k
Print Name of Applicant and Company
o ' lJe i t-l- ~ 'f\-\ev-~"" \ s< ~
~*G-<