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HomeMy WebLinkAboutWater Meter - 04/28/2004 , CITY OF OSHKOSH WATER DISTRIBUtION WATER METER PERMIT (please Print) . Date: ,/-af""-z?i( Meter(s) Installed At: Name of Owner: Address of Owner: - Meter(s) Size: ..:J ~~ Meter(s) Use: Check t e Use(s) that apply. typical New Construction Y Single Meter .~ . Typical Multi-Unit, Multiple Meter .......xA~V__ "" ~ n ~...", ."..-...........aM!Il ~. CDCIWIalETel ..,.",- u.r...,.__ J' _ .-nJl1ICI&A~vM.VII . ----..... CCINIIIClL YALVI .....__CIlIIIIIa-VALW -- Typical Deduct Meter lID u.f1Mt .....,.c..c::nr_ [V_Tel AU.DWlID ............- "L"",,- Typical Water Use Only Meter IIIIh'IItlllCU1DlvALWII ~~ lID .......... -~.... MIDWID ....~~Ta ......,.- , )'. ~ amIIt-.V.'aiI:WVA&.VD __c::arr~ 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 hisJher own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters ~ 1-1/2" require a bypass. I ~ __c::r::MIIClLYA&.vE . d used according to the above information. €?, iZl AN' ~A-1'J( ~<<~ '5 Signature of Owner or Agent Print Name of Applicant and Company ~ ' i