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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (please Print) . Date: 7-1(;;-07 Meter(s) Installed At: ;;;> ~ '11 ~n-i?J>~f<;:~!U tie . Naxne of Owner: fin, \-rD~.vT" _--..:~P~fCI rc J L I G (p(<.()U I ()2NT") Address of Owner: ~2<,11 EIVTf:.il ~{(J..<~ ''DIl-zuc Meter(s) Size: 7/.4 . Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter ~ . Typical Multi-Unit, Multiple Meter .... -.A1IDIIVALVII 'i ..... t~ .,..TD .,...-MNII'AIft'Ia'WIIl _/ .- ..-rIll 1SClLA1IDII vALVD . ----- --.DNa caNT1lClL VALVI ~. ~ "'Ill! If_'TC ~ UMfMTIaWIJl dt-"'......~yM.W Typical Deduct Meter NO UMlfAll't -.wD CIIIQ"" fl'-d "...Ta A&.&.OlIllI!D UNrrAlft'.... . L .~H- Typical Water Use Only Meter Ma'I1!ItIlClLA1x.VALVD +~ NO UMfM\' -"'tOWUIE AWMID ""'CH..... TO UMrM\'sawa .. /'. ~ IIS!Jt 1IlU.~iDN VALva ~CUiI1'A1VALW 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 2: 1-1/2" require a bypass. I ~ IU&I*lICDmICIL VALVE Meter(s) will be insurlled and used according to the above information. -~?~/?~ , Signature of Owner or Agent 1?:'lo{} v:!t.l<fL df'Je:.:ILL-- b-yJT(;rLPIL:Tse~ riVe,. Print Name of Applicant and Company