HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
. Date: /.- 2 5.- Q 7
Meter(s) lustaUed At: 1ft ~B c.) Tier . . . . :ffi;
Name or Owner: I ~. "- &u(Y\-<..v- r jlc. r l\ Y ,<oW /:lea \ - )
Address of Owner: _2 _ i-J iter U--
..., "
Meter(s) Size: <.. J
Meter(s) Use: Check the Use(s) that apply.
.
Typical New Construction V
Single Meter ~
. Typical Multi-Unit, Multiple Meter
..... ..-A1IDIIVALVII
. "i
....
I .,..TD
.,..-......., II!WD
_J'
..... .-nR1ICLA1IDIIVAoLVD .
---- ~CClNI'KOLVALft
~ ".
~fJlI~_1'O
~ UMfMrIaWlll
~__c:ama.VALVI
--
Typical Deduct Meter
NO UlllfMlf
..JUIIllCl..... o.r: v_m
A&,LOWI!I) .......,-
- L ..,., .-
Typical Water Use 9nly Meter
IIII'lIR IIClLA....VAUIII
+~
NO aAMrM\'
-01ICM_
AU.OWID
""'CIo"..... m
aAMr.,UWD
-. /'.
~ 1IRD1IU,Alil:llllVALVU
__ CDfI"oIQ. VALVI
Note:' 1. A Plwnbing Permit may be required prior to the installation of the issued water
meter(s).
. 2. All plwnbing must be conducted by a Wisconsin Licensed Plwnber, except a hQme
owner may perform hislher own plwnbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-1/2" require a bypass.
I ~__CDmICILVALVE .
Met"e~~ used according to the above infOrmation. '. .
. ()~ ShctW^~e7rV\ q
Sigmture of ~or Agent !1. I Print Naine of Applicant and Company
?ii ttr II/lffd f (J Le?f7. .
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