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HomeMy WebLinkAbout2004-Water Meter UC(L~'4UU~ L~.~C ;J4t.11- (..;J.;.1 "" t.&....;J ~ CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERl\1IT (please Pril'lt) ,Oal1:c~_..l:.;{J .qy Meter(s) Insta.lled At: ~ .J St, .' WyMwlIiI/ t!24 Name or Owner: .f..1,"~<l1 ~U',d t'J,~.' "o\.ddress crOwner: . ;. ~ ~ r)~v~",,;JJl ~.~ /J Meter(s) Size: 3A'-: Mete~s) Use: Check the Use(s) that apply. ~""I E ,-().;.PA.t ! r;--I,O y' Typical New Consiructicn Single Meter ~ _---..r_ Typical Multi-Unit, Multiple Meter __ ..net lSCUo.'I'Dot YAUID ~ ... ~ l:>'S04'lNII!~ ..... .......-- MMrr....... ~ I'""- 1JHl!l!! ~_Tr1 uwr'AIIl'r ~ .,..-j ~ET"jO, I .. .. ..-- t~ C---_.~ J -----..... ,..,....lI&lIiJ*Q ICl:iM'l'IaL VALW 11 'I'ypicaI Deduct Meter Typical '\Vater Use Only Meter NO '&ItI<<Nrt l!;IRW!!1'l ~ ~ I D'C1IlJ> *R. Ti:I ~SI!Wl!!I . IWII!1'I!I'tlSCll.A11Oll"'~ J.~ r~ ~:::: : I ~ euII.ll.IIIII3CClH1Mlt..".....'i/t lI10 UlIIfflllin' IIa'IfIR ClBCkulc=c ~ III ~ ~~II''/llriTO IAlCrAlW'~ r~~q :/ I"" -~~Y""'VD T ------ ~~V;.Lw. N'ot-e: I ~ A Plumbing Permit may be required prior to th.e instaUsnon oftbe issued wa.te~. l'neter(s). 2. An p!umbin.g must be conducted by a Wiscon.\in Licensed Pltunber, except a hom.e owner ma.y perf"OIm hislher own p!~bing '\\ithin their 'single family, owner occu'Oied home. For !.nquiries please call236-5052. ,. 3. Meters ~ 1.-1/2't require a 'bypass. Meter(s) 'will be installed and used aceording to the above infotmation.. 4?~~;:.e./~ ~,.. .~,./~~ d~N ~6P~fP' Signature of Owner or. Agt:mt