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HomeMy WebLinkAboutWater Meter - 12/15/2006 CITY OF OSHKOSH WATER DISTRIBUTION WATER ME.TER PERMIT (please Print) . Date:J 2/1 S" 106 Meter(s) Installed At: '3 2 Z I Mo(k: ~,.b~ ~,.\ Wa.y Name of Owner: L~et- ~~~tJ' '. Address of Owner: 3;~Z. 0. ~J due. ()<;I...!ca;'" . W"}:'"' Meter(s) Size: '?/4 It Meter(s) Use: Check the Use(s) that apply. 5' r9"''7 Typical New Construction Single Meter ~ . Typical Multi-Uni~ Multiple Meter ..... ..-A1DIWlUIII . ~ ... / lrwR'ftt tIIII"""'............ .... ./'. ~ -.-ra1lClLA1DIVALVII . ~ -.DIIICI=-nmLV..... ~,,- ~-'IQ ~ .......,1aWIIl ...,__c:ama.VALVI Typical Deduct Meter ... UlllfMl'l _D18="_ r ('_'I'D AI.&DlIlB ~..,_ 'l__- Typical Water Use Only Meter ......,.1DIwua +~ ... ........, -~.... ALLDWID "~""'Ta ........,SIWIJI ~ 1'. ...". "U'liDII VALVa ~__=-_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 2: 1-112" require a bypass. I ~ ___CIlIftIICL VALWI! . Meter(s) will be insudled and used according to the above information.' La.J6-\. 5 t ..Lc' . $ Bs 1!J.', C Print Name of Applicant and C mpany