HomeMy WebLinkAboutWater Meter Permit 4/27/07
CITY OF OSHKOSH WATER niSTRIBl1tION
WATER METER PERMIT
(please Print)
. Date: ~/p ~/
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'Meter(s)Installed At: s:;lt:D e.Af:&, /1L14/L
Name of Owner: . ~~:: t;:~-ZN !3"Z/l-(,'
Address of Owner: _ -,-___ . _!!YvJt4.t.~ J:lv'(, ~I/)o$/I., ,,"Y9oL/
Meter(s) Size: ;y'q' ,
Meter(s) Use: Cbeck tbe Use(s) that apply_
Typical New Construction
Single Meter
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. Typical Multi-Unit, Multiple Meter
.-rIIl..-A1IDIIVAUlD
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.,...-.......uno awa
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... -MaDlSc:lLAtDtVAUlD '
. ----II&DIIG CDIIrIlCIL VALW
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~ c"1:"WIi.'ftl
~ UMrMYIaWIR
......__CCIIII&VALW
Typical Deduct Meter
NO fUIIl8fMl't
~DmCIIUJ- {""" WWR'ftl
~ .......uno_
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Typical Water Use Only Meter
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NO UIIII'.uno
_'DIICM".
ALLDWID
r-'e-"-"Ta
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I ~.......CaImIClL VALVE .
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~ IoIB'IRIIlV.iDtVALWI
a&MG CD8'otrX. 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 performhis/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-112" require a bypass.
Meter(s) will be insurlled and used according to the above information.
'* (\0 < a...
Signature of Owner or Agent
LA\VOtH'\J Sfr2..EL.~El7- 66s 'PI
Print Name of Applicant and Company
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