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HomeMy WebLinkAboutWater Meter Permit ..;b. ""Ill CITY OF OSHKOSH WATER JjiSTRIBUi'ION WATER METER PERMIT (please Print) . Date: tb--'~7 .' Meter(s) Installed At: Name of Owner: Address of Owner: - Meter(s) Size: ~~;I Meter(s) Use: Check the Use(s) that apply. Typical New Construction . / . Typical Multi-Unit, Multiple Meter Single Meter .....-u11DllVa&.WI . ~ ------ /O'to J6HAI ~ . :::;t/,L. /2vSc;/t ~ j:?G), go~ L/z.'5 6)nILO J ~) . .- rt9t;3 . . ". . " / y, , :.- ~" .. 11"7 .,..m .,-aMII'All'fawD / .....- - ....lSG&A1DIYALWI . _____....". c:aIfftUlL vA&.VI ~c- w.Ga1O ~ __M'taWUI ...........CCIIIIMLVM.VE Typical Deduct Meter NO Ulllfltllf _1111&::.."- D-' .,_10 MUMlI!D UlllfAll'f...... . L ~"'. .- Typical Water Use Only Meter .-nII....1DtVa&.WI ~~ ID ......AIn' -- DlaCtWIlII! M.&DWID D'lI~TO UNn'ARrawD ~ /'. ~ IIRIJlIIUA'aiCIIIVALVD .-DIIlI corroWJL 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 hgme 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 ~ IIMMIlICDmICIL VALvE . Meter(s) will be instmled and used according to the above information. * Y\O ~ J (2... Signature of Owner or Agent \.-fWDON sfr2..E:t:.UC2((- Print Name of Applicant and Company