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HomeMy WebLinkAbout2004-Water Meter ~~{!~f,~~~ L~;~C :::I"O-/';'';'-L/.L.;1 w..... ......."'"""" I ....."""PI""...'''...... # CITY OF OSHKOSH WATER DISTRIBUTION WATER :METER PERMIT (.Please Print) Date: fa 4l.tJ .qy' Met.er(s) Installed At: .J s"&, Wrj;{~tIV/ ~tt Nllm" of Owljer: Ct!,:~CI'; (i}"Ul,d t1~ Alid;ess o[Owner: ~ -/<<J AlM(;211~1V /.JJl. ~~_0 Ii Meter(s) Sil.e: W Meter(s} 'Use: Check the Use(s) that apply. O.r./~tJ t Typical New Construction Single Meter 'X Typical Multi-Unit, Multiple Meter _ __ a:ilX.A'hClIff"'~ ~ ~ ~'l'() aMlTAJfr l5Il!Wmt ri tj~oi I "II .--- I ./ f..... - ~ llKa.A'nCIi YA&.\II!Il ,""''----- '8JIIl.D1HC ~ V.eu'll; I ~~'_TO ___ IWftrNlt't lJEWQ ~... iUl,DlleGQllmta.YALW: .~:.- Typical Deduct Meter. 1lI(1~Nn' I$~~~ ~ Typical Water Use Only MeteX' t ~:"'\\"'!l. , ""'I;"~TO S4IIln'M\t II4IIM!JIl ~ J r~/. 1 *~ ..re'USO~A'T1l:*VAl.". J .....-~ VN.VE III!'T'IlR 1fOU.'lDi vAL\IU r-~ 1: '- ~: ~ : , ~ tIUI.\:lIlIlG CClfnlOI......"l.\II! IllO .......AM' ~~~~ "lL.OWI!U trt e.. '-_TO IWCTAIIlT Sf.WElI! l 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 home owner may perform h1slher O'WTl phL.l1bing within their single family, owner occupied home. For inquiries ple~e .;;a11 236-5052. . .3. Meters ~ 1-1/2" require a bypass. Meter(s) will be installed ~d usea according to the above information. ....""7 ?~ ./' ~:/ . ,#;?<p~ ':;;;;",r ,,;;Zt'/4 d~,. ';?~At.p.. ,; Signature of Owner or Agent