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HomeMy WebLinkAboutWater Meter - 02/02/2007 CITY OF OSHKOSH WATER DISTRIButION , . WATER METER PERMIT (please Print) . Date: 2. - 2--0.7 3to30 Meter(s) InstaDed At: ~~7: 6./-~f"h" Dr- Name of Owner: L €c:.f:. _ C f) , Address of Owner: SCAAAA .0 Meter(s) Size: . '3/4.-(' Meter(s) Use: Check the Use(s) that apply. Typical New Construction \l. Single Meter ~ . Typical Multi-Unit, Multiple Meter 1IUIIl..-A1IDIIVAUIII . '" ... i IMrIETD .,-UltlfM'fawD _/ ..... .-nIl1SCIIA....VALVII . ----- -.DIG c:aNftlClL VALVa ~"..~II'...TD ~ IMIrM'tSIWIJI ..........CII:IIIML yALVa Typical Deduct Meter NO UlllfMl'l .....CISCUJI.. P. V_TO MLDWI!D UltlfAlft"..... .L"~r-" Typical Water Use Only Meter ~IICILA'IDIVALVII +~ NO UMl'AIft" -.,.,... AU.OwID ,,""'CW_'Rl MMrAlft" SIlWIIt ~ ~. ______ IIImItIlUA\a.VALVD ~=-G.VALVIE 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 his/her own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters ~ 1-112" require a bypass. I ~~c:ama.VALVE. Meter(s) will be instmled and used according to the above information. D~ 'R,-,<,~) lraff'+\AAlXlA' . 'VVl~ . Signature of Owner or Agent Print Name of Applicant and Company