HomeMy WebLinkAbout2004-Water Meter
~g/.J/~~U~ ~~.~u
~.u r~~ "r""....
CITY OF'I OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Pllliase; Prll;lt')
O'~te:-.f:..~tI ,ur/
Meter(s) lB'stalled At: .J S-r;. W'tMwfJ{I/ 1Pf/
~ame or Owner: n:'~Hl ~ml,tl -1~ .
~.io.dd~ss of Owner: ~ /, J fI/ ~.: ~ ~,~ /J : a~/lA1 t
Meter(s) Size: 3At
Meter(s) T1se: Check the Use{s) tbat apply.
"{>If"; C
s:--I1IJ y'
Typical. New CC)nstrUction
Singl.e Meter
K
Typical Multi~'(jnit, Multiple Meter
..-r&l J$al,A11OtIV~
"'i
QIIIQWIlGI! 'to
.lNlft'AIn' ~
t: U~~R :~~~~
---- ~l2*"mOl.V~~
I .
---ilo
.~
~~~Tl3
~ lWIrtAP1'(1SI!.WI!Jl
....-fIClIl.I)lIIll~"'M.VI!
L
Typical Dedl.lt:t Meter __
~MlI PldR'AIn'
__C~
~
Typical Water Use Only Mete"!'
~""TO
lIAWrNW~
.It.
"""lIIC'IlA'ftCIH VAli.\IlI!fl
i~'
r: :::; ~
I ...........
....... tltII1;lDiIG ~ 'VAUlt
NO ....,.."'"
taWmt~Oo\!
_: ~
OOlICMAlICIII! Ttl
lIollMrM'f~
... ..
... "'I"
/
~: -1IIl:'t'I!A1SOtA'f'IQIrllVlli.VU
I ---- ~CDmIoj. VN.Vf!. .
I
Note; 1; A. PlumbiB.g }':ler:mit may be required prior to the installation of the issued water
meter(s).
2. .AU plumbing must be conducted by a WiSco11sin Licensed Plumber, except a home
o-wner may perform his/her own pImp. bing within their single famiIYl owner occupied
home. For inquiries please call 236-5052.
3. Meters;::, 1-1/2" require a bypass.
Mete:r(s) wiU be installed l:!nd used accor.ding to the above :informatio~'l.
~~ ~.
...-- " tJ"".<.-' '7
-47.!;;./''':~ ~/" ,:~~~/4 d~, ~6/",.p,.
Signature of Owner or Agent