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HomeMy WebLinkAbout2004-Water Meter , , O~I~~I~OO~ ~~;~~ ::J~t:I-r.::l.::l-,/.l.::l WH I 11:..r:i.:;ll rL.UITIDJ.I"f...:of I .........11... ~.., ...,..1 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (P'I/!\t\se Print') Pate~ s:.l-~'; Meter(s) bstalUld At~ ,;;S" , tV)" a L..",~ tf1/7 L".~) ~.; ~ Nome of 0..'.0" ~./~ tlcM/ ""_~ _ '=_ Address ofOwne~ /4';,. ~ t:.;~r./~"~N ./.J/l_ ~.... ~..,If 4,.17/4 / S-Yf'v~ __ M~te!'"(s) Si'le: _ -.-!~ "'-_ Metet'{s) Use: Cheek the TJ,se(s) thSlt apply. Typical New Construction. Single Meter t Typical Multi-Unit., Multiple Meter ....1SOC.A1'DlIYA1/U '" ......... 'WCM~" 'fl) MIln'NtT S8IlD tr: ~p ~~ALvC ---~~VAl..W , ~IlIR:MUIO.I!'t:,) .....-- aaaar.-rlleMlll t..,.....~QllImII:IL."N.W Typical Deduct Meter D60~ ~ mr:ct~.flGI ~ Typical Water Use Only Meter. r "ClIlIC"II'''''J'l:l ~1\lI!lIllII!JIi ~ iiIIn1!t~ "N..... (--~ 1 : -::~: ~ I ~~~'VA,l.YI! NO IWlIrA/ln' ....b__OIl ~ - ~~"OI'TC lWG'ARY QWEIt [ / ~ ~ -MmEPl~VAL\IU t ---- ---~lfAt.YI! I Note: 1; A. Pltunbing Permit may be required prior to the installation ohhe issued water meter(s). 2. An plumbing must 1:>e conducted by a Wisconsin Licensed Phnnber, except a home owner may perfonn hislber O'WIl plu~b1.ng within their single family, owner OCcupied home. For inquiries please ca.I1235-5052. 3. Meters ~ 1-1/2" require a byPass. Meter($) ...11 be iMlalled and used """ordin~ above information. ~.#./' ~'( z;.,.r~ M~~L~~' Signature of Owner or Agent