HomeMy WebLinkAboutWater meter permit 2/22/07
CITY OF OSHKOSH W.ATER DISTRIBUtION
WATER ME-TER PERMIT
(please PriDt)
_ Date: .-?/ljip ft"'-7
Meter(s) Installed At: ..JL~~ ~<.~ IFrY J~ vJ ~,
Name of Owner: LIfl::.;s;.;J ;/()PJ'J't.s l.,r:e...
Address or Owner: j.tYif' !=in,tfl,y cr. Al'iX/lIt4t1 S.'1f9s.-'
Meter(s) Size: ~/."'I" .
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction . / . Typical Multi-Unit, Multiple Meter
Single Meter ......uJalVAUIII
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Typical Deduct Meter
NO UM'rMl'f
.-wPD-=:Ilr'_ ~ V_TO
AUDWI!D ....,>>tr_
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Typical Water Use Only Meter
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II&DIG CUft'otoX. VALVI
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 llls/her 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 '" ~CDImICILVALvE .
Meter(s) will be insUdled and used according to the above information.
:-____ ~_.._-~ --=,' ..$~ P<,v-t$4
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Signature of Owner or Agent Print Name of Applicant and Company