HomeMy WebLinkAbout2004-Water Meter
Q~/~~'~~~~ ~~.~o
::1"'o-r":)..:J-"'t~~
w*"" r I c.r:.;::> r~uITIDJ..nO
r....~1:. tJ:.J/tJO
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Ple:ase Print)
Date; s: <</ .() -I ::?t( , .
Metcr(s) Insta.lled At: :,.' ""; t.~ a~. / JiJ/l ~NI y' f)
N:une of Owner:~~'" / d.",,-:,,/ e... /
..\.ddre81l ofOwner~ /(/$' AI d..~./.L...,IV. p~ OJL'n:;; ~ I:JI...& /J ClJ9oy'
M~ter(s) Size: SA" ,
Met~r(s) Use: Check tbe Use(s) that apply.
Typical ~ev'\' Constru.cnon )t.
Smgle Meter .
Typical Mtllti~Unit, Multiple Meter
MIm:k asctA,.."AUIa
~
to.
~'l.JtI:/ilt'tO
--~ S1eW\!lIIII
--1 ,..FI'EJI j ..... p ---- .
t~ -;;.._......
,---..--.....
~IlIKIL~T:l
.--- UMtr~ SI:llwQ
~1U&J)IlIG~yAl.\'e
Typical Deduct Meter
DCCIl~
IIrlIWel'l D~
~
Typical Water Use Only Meter
....- .....1'0
--.ury-
ACI1!JIttslClV.TICH\diLVU
r~
i: ::~- : ~
, ~~d>>mtOf."'.....~
ta...,AlW
-DIsri:IWtC&
~
..
~70
~1'IiWul
i~ ~~tCWV~YD
I ~=*"*"L. VAl.VI!
Note: 1; A Plumbing Permit may be required prior to the installation of the issued water
meter(s).
2. An plumbing m.ust be. conducted by a Wisconsin Licensed Plwnber, except a home
owner may. pe~o;m l:>..lslher own plurp.b~ng within their'single .r-.unily, Ovm.er occupied
home. For mqumes please call 236-5052. .
3. Meters ~ 1-112" require a bypass.
M~~ be ins cd """ used =rdlng '" 1I1e above l
. . y ..::;:;;., / a;,1"~ ~
Signature of Owner or Agent