HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER DISTRIBUtION
WATER ME-TER PERMIT -
(please Print)
_ Date: >1 '7' / 01
:Meter(s) Installed At: X '3 L} tf'13l:FP V l,t-l.- l.,< L~}.I iF .
Name of Owner: D d- U--l.? Y 1+0 rlGd
Address of Owner: L '1 LI I P" t? c: C 1+ ..5 7Q ~T I e? 5 J-f 1~(;~e5 l(. 4.../ I S l( l' c; !
Meter(s) Size: 3/.LI"
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter V
. Typical Multi-Unit, Multiple Meter
... --.A....VAUIII.
- "i
....
I).A. ~"TCI
..,...-IMII'AIft'SI!WI!It
~.
~ -,...'"
~."""ARrUW!JI
/
..... .-rIJlIICLA'IDt VALWII .
----- a&I*I cawnux. VALW
:..t-"'~=-na.Va&.ft
Typical Deduct Meter
NO UMlrMl't
8WI!JIDISCIJJ'_ \)""" v_m
ALLOWI!D IMII'AIft'.....
. L ..,.. ~
Typical Water Use Only Meter
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+~
11IO .........
-'-aullar
ALLDIlIID
....'e"I....m
......... S2WIJII
, ~.
~ IIIlmlllt:-Vo\iI:lIfVALVD
.....carr~ 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 his/her own plumbing within their single family, owner occupied
home. For inquiries please caII 236-5052.
3. Meters ~ 1-1/2" require a bypass.
I ~.......CDImIIClL VALVE .
Meter(s) will be insudled and used according to the above information.
.~~~
Signature of Owner or Agent
&nt!T6- $CI...J. H ior 'PJ-S:. PL13 6.
Print Name of Applicant and Company