HomeMy WebLinkAboutWater meter permit 5/6/05
CITY OF OSHKOSH WATER DISTRIBUtION
WATER ME'TER PERMIT
(please Print)
. Date:S-L -Df"
Meter(s) Installed At: / 0 S- ( (g t.s .It\ "truJr ..~
Name of Owner: f).e..{ 'T ~ z-rt-'
Address of Owner:. . S ~
Meter(s) Size: $/~ k.
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction V
Single Meter f\
. Typical Multi-Unit, Multiple Meter
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-----.-DINlICClJmICX. VALVE
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Typical Deduct Meter
110 ~1JIlf
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Typical Water Use Only Meter
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110 ....Mr
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.....CUft'eL VALVE
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 hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-1/2" require a bypass.
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insudled and used according to the above information.
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Print Name of Applicant and Company