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HomeMy WebLinkAboutWater Meter Permits 2/14/07 CITY OF OSHKOSH WATER DISTRIBUtION WATER METER PERMIT (please Print) Date: ::J. -- /y.i:5 c7 '-'3' ~:(J CT'j A 'Meter( s) Installed At: .:j '0, ' . ,Name of Owner: ~/:;;lr I;} Sc; /1. e;-: __ Address of Owner: , f! ,:J Bo)<' 11;2, :> Meter(s) Size: . %' - , Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter /" . Typical Multi-Unit, Multiple Meter .....'.-u.....VM.VII - ~ .. f....4lll{J ~..m .,...-Ulflflltf ..... -I' ~ MaDISCIIATDlVM.VII - ---- -..-ca cr:IN11IClL VALVI ~' ~ It... _ta .,,- UNII'MVIaWD .-.....c:ama-VALVI -- Typical Deduct Meter NO UlftMlt .-wD ~IIICI"_ [- "IIIIlIlrTD AU..OWB ......1Itf_ .L.-r-- Typical Water Use Only Meter ..,..lICILA....VM.VII ~~ NO.....""" -- 018I::M.... ALLOWID ....~TD UNrr.urrsawa ~ 1'- ~ IIR1DIIIUA'aOfVALVD ....cacrMLVALd 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 hQme \ owner may perform hislher own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters 2: 1-1/2" require a bypass. I ~ -.a.lCDImICLVALvE . Meter(s) will }': instldled and used accQrding to fueabove infonnation. . .. r2Jr;~ . . Dw;d :J.op<, W-e/!,u/!LPlv;"'J.; Signature 6f Owner or Agent Print Name or Applicant and Company ,- - CITY OF OSHKOSH WATER DISTRIBUtION WATER ME.TER PERMIT (please Print) . Date:...) -'- / Lf ~ 0 I :Meter(s) Installed At: '3"3 7~;; C "j R r/' A. Name of Owner: M->.. r rj ..fe; /7 f!',,- Address of Owner: .P, D p^x ~ d-S Meter(s) Size: :hr Meter(s) Use: Check the Use(s) that apply. Typical New Construction.0 Single Meter -r . Typical Multi-Unit, Multiple Meter ...,. --.alDlVAUIII . .~ ..... 11 ~"TQ ",.-IMfIfMf _ _I' . ...... MaTIIllSQLAlDIVAUIII . ----- .-DaG caNI'IICL VALVI ~. ~...... '-TO ~ aMlrM'f'..... '4Il"__=-na.V.... ..... Typical Deduct Meter NO UM"NIlt ....,. ClIIICIUl_ (""""!: V_TO AU.OWI!D u.rrMf..... 'L.,""~ Typical Water Use Only Meter .-n!ill1ICII.A....VALWa ~~ NO ......MT -~1II M.LDwID "ICHM8TQ ......Mf lIIW!Jt .. 1'. IIRD IICUO...ialfVM.Va ~ ....C3ft'Q,VALW 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 hQme 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 ~~CCIImIaLVALW. Meter(s) ~l~ b~udled and used according to the a~ove info~ation. . . _ . . &// Z ? c~n'd P:' h.J~/ich.IL~ p;:'~~j~"ft Signature 0 Owner or Agent Print Name of Applicant and Company