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HomeMy WebLinkAboutWater Meter CITY OF OSHKOSH W ATERDISTRIBl.1tlON WATER METER PERMIT . (please Print) . Date: f l. bl./ cL . ~ Meter(s) Installed At: 1T1 ~ J-J~,^,\u-~ G-h:V'\. [)r Name of Owner: '1)~..,"" . LiV\L Address of Owner: .1 tic 51 :ro'...s~.... S-t- Meter(s) Size: '}/4- Meter(s) Use: Check the Use(s) that apply. Typical New Construction " Single Meter '" . Typical Multi-Unit, Multiple Meter ..-rB IICILA1XINVAUID . 'i. .. { .,..TD ~UIft"RMJl ~. ~ ~'_TO .,.- UNltM'r aawuI _/ ... IIIEtD ISGLA1DtVALVD . ---- --.DJNCI CQIfI'RClL VALW ~...... CCIIIlWlL vALW Typical Deduct Meter NO UMlfUl't 'IaWEJI DISCI..... t'lAil L-"TO A&.LOWI!II ....,.,- . L"~H-- Typical Water Use Only Meter .....1ICILA'lDtV... +~ NO UNII'M'r ..... ....,.,... AUDWID D'l1OWIGI: TO UM1'MrRWD .. /. ____ IISIJIlC:UoiDfVALVU B&DIIG COiI1"A1 VALWI 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 hQrne owner may perform his/her own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters 2: 1-1/2" require a bypass. I ~ -.a&lQcmmICIL VALVE . Meter( s) wIll be insurtled and used according to the above information. '~~~~.L Signature of Owner or Agent . K'c.~-\-\' ~OL\.....' Cti K~"V\~v\.~J~f-k",-\~). Print Name of Applicant and Company