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HomeMy WebLinkAboutWater meter permit . u t, -, CITY OF OSHKOSH WAtER n~:ST. WATER ME'TER PER~I~IT tfW'~~SI~e Jl'lIilllrrt) . lyttON' ,,) J 'ft...ft,~. .) -,Ja....'1 , .m;'"",', .....~ .-- . . . -I ~.? ~~ ~ :Me1t~R'(IK) Illllmt~nned .A;I::___i?.l~~~_~(..,..g.1.! . ~ (J~---..T'" U/lfi . '1. r . /"''1 n" m,.,1fI'1IJ1I(;Ar..,1 ___ Nlllme c1Ilf oWJme7l".__.4~..c':-_'.'_:6-~_~ ,. ~ . --:-'2(? If "" . J/""-- Addrre!ll$ ~f' 0wJn1ell':__.' -- 7' ~4L /.:/N.l-~.(Jt / r:L-..cu".:... C . f;..X.---- , O. ~~ It , M~tle'r{s:) ~;IIltEe:_...=?I. ....___'.'. ..--:- M~telr{$) Use: Ch'tefClk t.fmll!! n..e($) ~IhI:Il,t alP.lpE~'. "L " .~ / . . . --~~:oA"'i!QIlI~~9.mll1i ~~Q,~~ NQt.e:' 1. A lP'h.l\mb~ng Permh ~1l3Y be required prior to i.lhe instaInIl\tJilOll7i ofthe i$S .d waJl:cr lOOetor(s). , . 2. AU phllmhing must. be conducj,ed by :ill ~Tjscomjlt1\ .ticcnl1:p.d Plumber., O'l1lfnelt'may perfonn his/her own plumbing 'Within their s:ingle famHy, home. For inquiries pleas.e call 2.36M5052. 3. Me~e1"S? )..112" reql!Xre ~~ bypass. ~. . -, I., Typjcall t;le'lllf COll~.ltct.non ,/ Silngle MeteA .__~.~_~._ , l'ypjc~ M1tlll1n,.Unit~ ]vtwt]pHe Me li __1lIICU.'I!1IIll!IlI~ . ~~,~ -Gi ~'1110! .---~~I ___-~~~'MltA.__ . . ""-----lIJlRI,bINICR ~ 'If.AlWll! ';..-~ICDIIII"'~.wfI ~, Typnc131 Ded,~:nf;t Metf:lX' .. -~ '~D~ ~_~ ~ ~.IlAm'_ I TypRc~ VI/ate)[' Use Onny Meter " ~---Ot,!l, \ I'...' """", fJIaQ/IIlIIlII ~ ttN,._ ~ " ..... ~'1ID .-,.....- 5WlfMl:!r'" ~~1I\'lI' ~~MIOC .~ . ~A ~~~ Mtnt.er(s) "\IVi~.~..~c IDstAtRled.~uscd ac::cording to the abOV~nmOl!m~!~. . / ,.... ..:l... ,.-//, / .--' / "",,;. "'/ / /~/ P'L~ / ---4'-"" / _L~ ---":.--:::....._,_.___.._.____ Q,tfI/rfL "/~-.rrneq!:!...,_. ..::.!~~~,~~~~..c7P. $gnatu.re ofO~.II/'iller or Agemt Print Name lofAppJac.ant ~.11l! Comp.amy