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HomeMy WebLinkAboutWater meter Permit " .. ;1 \, CITY OF OSHK()SH W A~R :OISTRI'lJtloN WATER ME'TER PER~~IT (f'1!~~'1l~ Jrniillllt) ~, "') , . D"t.Ie~..":;'1..:..!.l._. ..,~/ ,,-,. 11/ "'-r;"7 '~ .-1 C :Melb~Il"($) lllllst~Ued .At~,_ ..[~;,,/(Cl,_~B ,~'.I" ({, _.. "/IIJ ___-'--:- NlIlllOOl.e ofOwltluelr: -/;z:dht.C..r..t"-A4 II __ ~""~J!..!.4~:~, II' '-:7) _ .Ad!'l:llriEl~l!~ dJ)~ OwneJr::.~ J /1 :~' ? t.CL.. (4v"ir(D"A.'---s~~~: ~~_______ Mell:ienis) Saz~:._....~ _ _ __..;.. '._..""," , M,et.er'(~) U~tt':: CftU!l~k f,Jblle lfhe(B) tlh1:mt ~IP.PRy'. ." Typjc;ml New ConstnltcltRiOlO ,; Sing]e Meter --.".-4.-.... . Typic~R Mulld-UJtili~ J!lI.iuUtiiple M ~~~~ , ~, " ~'--W- .~ ~, -- . ~. ~1RlI ~ 1M'R1Ml:lr~ ~n'_1l:l --...~~~ / . -""-MIImIIlR.iIU:,"DI~~ ' ~lJIllilUll!llCl~'lt~ ~.......~~ ~, 1'ypicral! Dedll,RCt Merer ___. 11IIO ~.!\m' ~/II~ ~,r-_-ro ~ /!IllIIlIlr1'ft'1IlilWllI':Ill -L:.~ ND,.,....a~ ~~~1IIt.lI4! ~ TypicaR W.el1:f:li Use Only Me8:42lt' .. "~'llPlIIlIll~ r---.......,~ .m . JJ -., ~--mIf ~"' ~'""'- ft """"-..... ............1M.II!llM~..w . , - / '" ~""'Mt:ll4\r~\V1I4.9t'll!I1 ~r.!I'B.lI\'A~~1l! Note: . 1. A Phnmbing renni1. m~y be req~lRrCld prior tlO the i1nstaKM~mon of the iss led wmer met.e;r(:"s). . ' 2. AU plumbing :ormst: he cO'ii1Cll.llcted by 2 WX5:Consin UCtmi;::ed! F'H111mibler.~ tC'.ept a b?me owner may petfonn his/her own plumbing wfithiu 1hex]f' single fmHly, 1\llmer occupied home. For inquiries plea,se can 236-5052. :3, Meters 2: ,.. J 12" require a bypass. Met.er(s) wA]I be insta.1Xed and used acoording to the ~bowe infm:ma,f:lW1t. . ~ .-./j ..)~-7 /' ~_ ~."/ I I /.. /" "or ..,. ".." , /' ~.</" ~..- I"'" ~ .- ~"" {' k~:~____~_____,,,-:"j;t(~/c _ c ~'1fd~~_ _':'~'.:~ '7fr $gnature of Owner Or Ageot lPrili1\t Nmne lof Appli'~aJrn1:.;!ttl Company. .