HomeMy WebLinkAboutWater Meter Permit 4/27/07
CITY OF OSHKOSH WATER DISTRIBDtION
WATER ME'TER PERMIT
(please Print)
Date: 0//27.J>;
Meter(s) Installed At: :5 1 '20 6AIt. "f.-)
Name of Owner: 12."",c.A{. ~~
Address of Owner: .. ~D. ~~ '-tL~
Meter(s) Size: >19'
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter
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. Typical Multi-Unit, Multiple Meter
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Typical Deduct Meter
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Typical Water Use Only Meter
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_____ M8Dt 1IlV."ll:IN VALva
..... CDft'Na. VALVI
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.
I ~ IUUJlGCCMIICL. VALVE .
Meter(s) will be insta11ed and used according to the above information.
* "'-C.~ ,~~ (2-""'- J ~ L-~IYnv S f>f2..EXH-6Y2- -- ::) 65 pi rrYj
Signature of Owner or Agent Print Name of Applicant and Company