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HomeMy WebLinkAbout2004-Water Meter ~7/~1/2~~4 1~:43 ~2l:l-t;j.:,-'Ltl.:j ViA r II:.K~ l"'LUMtl J. I'll:! !"'A\;Il:. 'fU:'/O'l .j CITY OF OSHKOSH WATER DISTRIBUTION WATER. METER PERMIT (PlC1lI5e Print) Date~ 'J!]~..t1t.f MetcJr(s) Installed At: tiP.? Name of Owner:--I."f ~d/ , . w.&:" Address of O'\:>l'1u.:r: , a~ /II ~",\~ v(&I .L?17 Metel-(s) Size: ~ V _ ~ Me.tcr(s) Use; Check the Use(s) that a.pply. t7.u! /L{./ f~,,, ~ Q --<l>-......-..-.... Typil~al New Constructior. Single Meter . )( Typic:d MultiwUnit, Multiple Meter ~ JScItA"/'XIR 'I1Illi'U ~ ~ ~ ..1 ~''f' ...,..,....'te --.rAIn' ~ ;--l lo4~ /... ".. --- ~-::::'-~~~\o'ALV= t -- JIUoU)~ ~ V.v.Vfi ! I ~~.IIIQE T'C ....-- ~~1ItWQ '__-.xIlIG~v~ Typical Deduct Meter ~~~ r = J.__,-o ~ ~Nn'~ ~ . - L_ Typical Water Use Only Meter NITM~"A:/;.'YO (-~ 1 : · ;-=-:: : I ~ ~ COIf\"IIla..'Y~V!> ljC) """'Mf tIalIwD Q-=--Gll ~ lr-- t~~_.~... f ........ CQIIIIrIIIIO_ v...a..VI'i ~TC ~SftDIt Note: L A Plumbing Permit may be requfred. prior to the ir..sta.11ation of ' the issued water ( "\ meter sJ' 2. All plumbing lnust he conducted by a Wisconsin Licensed Plurn.ber, except a home owner may perform hislher own plwpbing VJithin their single family, owner occupied honJe. Fer inquiries please call 239~S052. . 3. Meters? 1-1/2" require a bypass. ro..1eter(s) w~! be i~ tl:nd used accordi~g to the a.bove il'lfon'nation. -4 /' ~~ ~"c ~~/~ Mp/. ,/fC./ Signat:~.re of O'l\>'ner or Agent