Loading...
HomeMy WebLinkAboutWater Meter permit 9/7/06 CITY OF OSHKOSH WATERDISTRIBl1tI()I~ WATER ME'TER PERMIT (please Print) . Date:~ tJ! D ,~ Meter(s) Installed At: 21 lJ a A.T 1.-.11\ '5. Name of Owner: ~ L u _<;::;T :s: 6: L ..' .. Address of Owner: _ Cfo 0 n T . L A -< Meter(s) Size: .\ /( Meter(s) Use: Check the Use(s) that apply. T . alN C . f~' I yplC ew onstruction f ...../ Single MeterJ_l . . V' . Typical Multi-Unit, Multiple Meter 1IEI'IIl.-aA1IQIIVAUIII . ~ ..... ~ ""1'0 ..".-UNIT'oUl'r 8I!WD I' . ~ - MITIIlIICI&A1IQIIVAUIII . ----II&DIG c:IICfRCX. YALVll ~~ana ""-MNn"Mr IIIWIR "N""~=-na.VA&.VI! .... Typical Deduct Meter lID UllllTARr aBWDCll:lCllJO_ [........ ~-"lQ AU.DWI!D ........,..... . L "~~ r-- Typical Water Use Only Meter 1IftI!It1lClLA1DIVAUIII ~~ lID SAMrAIn' -~ AU.Dwl!D "",--a.al!"lQ SAMr""~12WD .. /'. ________ ..-leI' IIlUiDf VALva ~CDII'MJL VALVlE 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 hgme owner may perform hisfher own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. pet~rs?: 1-1/2" require a bypass. Mele~S) willI,' 'Used according 10 the above irrlQrmation. /.: _ D f-./-IA ")-5-6~1 ~ ign~ture of Owner or Agent Print Name of Applicant and Company I ~ ~catma:lLYALVE .