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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUtION WATER ME-TER PERMIT (please Print) _ Date: /0 --/5:- f?J -- M to- 2. '? , 1 Meter(s) Installed At: 'Z :>~ . .' (,' G- /) Name of Owner: ~(' ,'.tv-.. b {.' {11 ::>k . Address of Owner: _ ~/'?"o.. (I Meter(s) Size: '3/. ~ Meter(s) Use: Check the Use(s) that apply. {;-I Typical New Construction / Single Meter . ., _ Typical Multi-Unit, Multiple Meter ......-aAlDIVALVD - " . .... 1 11"'11' .,..,..-....M't' _ ~ -. ~ (10"\ ""''1'0 ~ ............. ;' ... MaD 1IQIA1IClIIVALVD - ---- --.rJNI c:aNTIIIX. VALVI .-.....CDIIIID-VALVI Typical Deduct Meter NO UMlfMlf _DlIiICIlr_ .-. V_TO olIU.DIIWB ....M't'_ -L.~.- Typical Water Use Only Meter ....1KlU1DtVALVD +~ 11IO UlllrM't' -~.. M.UMI:D ---._TO UlllrM't'SDWD ... I ~ --e&::ImICLVALvr . .. /'- ~ IIRIJt 1I(.::.A'aiCllfVALVD a&aIGCDn"Q. VALW 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 hQme 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. Meter( s) will be i~~r1 d and used according to the above information. /: ~ i _{, fY' '.p ( ~+:.p. ? t ~ ~ ~;A" _ T N C Sigma of Owner or Agent Print Name of Applicant and Company t:/ff {'/~l\5'J'.c.... k