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HomeMy WebLinkAboutWater Meter Permits 8/20/03 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (please Print) Date: j' / 2 &r,j C '.';) Meter(s) Installed At: 2 2 'J A L ~ 6" J; AvE." Name of Owner: .51+c a- C AS t..? C U ~ 'T C H /-1 C 1'-1 u-..J Address of Owner: 2. '1 S c:: A L 6- OM A P.:, L 1/1) , J P' 3> l-l-/T c!i /.I. '<-I Meter(s) Size: "~.I'"/" - ~ Meter(s) Use: Checkthe Use(s) that apply. Typical New Construction Single Meter v i Typical Multi-Unit, Multiple Meter IIUER ..xA1'IDIIVAUID 'i -.. i . I1_Ta .--UNn'M\"1EWIIl ~ II... II..Ta ~ aMirAll\' lIllWU J' -4 IIIDD &IClLA1'IDII VAI.Vl!I ~~CCNJRCX.YALW ..-.....CCIIIIIa.VAL. Typical Deduct Meter NO UMnN/t'l s.MR DIIeUP'" A&.LOWBl ~~= L.....TO UMrM'r_ Typical Water Use Only Meter ....1ICILA1DIVALVU ~~ 1: :::~= I ~~catmtaLVALVE" NO 1lANn'M'r ....D~..... ALI..OMI) --au... TO 1ANlrM'r sawmt .. /,.' ~ III:nR 1ICX.A1DIVALVU ~cc:lN'rRaL VAL. '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 home owner may perform his/her own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters ~.1-1/2" require a bypass. I Meter(s) will be insUrlledand used according to the above infotmation. .~ 4~ 6-12 $-- 6- Signature of Owner or Agent .5. C 1,1-1'"1 lI~r P d- 5 fJ i ;3'C , Print Name of Applicant and Company ", - --