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HomeMy WebLinkAbout2004-Water Meter ~~I!~I~~~q ,~;oo ';:J4~-'.:3.:3-"'~.:3 WH I 11:."';;;> rL.WI'lD.l.I'11:l1 rH~~ url yg CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (please Pri~t) Date: ~f. J /- (1 ,; Meter(s) llIstaJJed At: .1yt. .,tt/ylf"( ;".uL/J1'I Name.rOWDer. ~~~ ~"~L~4 ~~~;~s;~~~er~ '/' ~~ ~~I~ ~ :'(ul;~1 Meter(s) Use: Cheek the Use(s} that apply. V~;/ E ~" fI s-ttJ if II ~= Typical New Construction Single Meter (- Typical Multi-Unit, Multiple Meter lIP8Il!IItltAn::lN IlAiLlIU 'i ---- -~ ~_TO . _ ___.....~sawut j: ~~_J~:":y~vD ------ tudJHG~V4~ ~~V'''''I'O ... II...--.....-r- awElt ;.a-......CClIICI'MIL YN,.W Typical Deduct Meter NO 1Nllf,lUCt .-ClKlIIIlll# 1:IIICI1I'.... 70 ~ lIIIMI'AIftI e:&wl9t Typical Water Use Only Meter \oj lMI'l!!IttlOl.A'nDHYIlUU +~ 1::::: : I ~~ClCIINmICt."""'VE IIIO-..Mr ...... OlIIOtlUIIlNi AU.aWI!!l . '[I1Mi'l11! TO ....,..,.., SIwa l )' ~ ......- -UlnElUIClUlfOIVIILWJI ---- ..... CICfII'nIDI. VAt."" Note: 1 ~ A Plumbing Permit may be required prior to the installation of the issued water meter(s). 2. All plwnbing :must be conducted by a Wisconsin Licensed Plumber, except a home owner may perform higlher own plUI;'1bing within their single family> owner occupied home. For inquiries please call 236-5052. 3. Meters~ 1..1/2" require a bypass. Meter(s) wm be _led an/aceo~to!be abO;;Znnati~ J ! 41...//'7/ JAH;( 'Ahl'~ M//r&/ftW1/;'N.!J Signa.ture of Owner or Agent