HomeMy WebLinkAboutWater Meter - 02/22/2007
CITY OF OSHKOSH WATER DISTRIBUTION
WATER ME.TER PERMIT
(please Print)
. Date:;J !?~/D'!
Meter(s) Installed At: ~rr(;~~ S'lIlJl~IlJIU::. <JT:
Name of Owner: fb~ C:-+iL. c.;;..vn-f...I.lt.""1 oJJ
Address of Owner: _ 'Y'~./(I Ac!.\~, /Lb, osJ/.t.c&H s'l't(."1<-1
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Meter(s) Size: ":;AJ II
Meter(s) Use: Check the USe(s)th/PlYo
Typical New Construction 1/"'. . Typical Multi-Unit, Multiple Meter
Single Meter ........1DIVAUID
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Typical Deduct Meter
lID UMlfARr
.-wDCI8CUI'_ ..-. V_TO
A&.I..DWC ......M't_
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Typical Water Use Only Meter
Ma1!II.....1Dt~AUID
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lID SMlrM't
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AU.DWID
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"""'""---- IIIl1'IJt "'-A\iCIf VALva
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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 his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
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Meter(s) will be insudled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company