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HomeMy WebLinkAboutWater Meter CITY OF OSHKOSH WAtER DISTRlBDtlON WATER METER PERMIT (please Print) . Date: 1::..18(0 r;. . I . '\ "I .A , .- l Je/"I_';" f- . ~7': Meter(s) lInstalled At: d... 0"", ...... VI <7 (//1 I v I Vf V' :.2 NameofOwner:~ Mr (jrcv'r Address of Owner: J)Go. (;,qr-KVlf'V c7'. Meter(s) Size: Y'<tll Meter(s) Use: Check the Use(s) that apply. Typical New Construction J-- Single Meter ~ . Typical Multi-Unit, Multiple Meter ......,.1IDNvAUIII . ~ .. I It_ta ..,...-"'Ml't"" I' 4 - .-rDl1llCKA1IDNVALVII . ~......=-na.VALVI ~N" wanD ~ .......,DWIIl .,.__c:aIIIKLVM.IIE Typical Deduct Meter 110 UlllfItRt ......,.C1C1='lf'_ ~ II'_TO AW:/WI!D ..,,.,- Typical Water Use Only Meter ...... ...,.,..v...... +~ 110 .....,., ....~.... AU.OWID ... -~TO .....,.,.,... ~ /'.. IIlEI'IJt a:V.'a'DlVA&.Va ~~~"v". 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 hgme 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 ~~CDma.v"Y! . \. (1'1 Signature of Owner or Agent and used according to the above ~ormation. t::" !J~; - (- ~'1 r;r: Print Name of Applicant and Comp s qdcJ -J3cJ -~OO ?