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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUtION WATER ME'TER PERMIT (please Print) . Date:~ Meter(s) Installed At: S~ 5 W. \,~Ne.v\",c.. Name of Owner: k~tt.. I!DCS$ Address of Owne~1 j ;5l.\ '"' e... Meter(s) Size:--2.:L L.J . Meter(s) Use: Check the Use(s) that apply. Typical New Construction . '- I . Single Meter ~ . Typical Multi-Unit, Multiple Meter ~..xATDlVAUIII 'i .... .~ ~..m .,...-......OUft' awa ~. ~ PlRIlI If_TD ~ ......M\" aWIJt / __ IIDIIlIlOLATDI VA&.VD . ---- aa.DIJIIG c:r:lNI'IlClL VALVE .......... =-na.VALVE Typical Deduct Meter NO IINIlfARr -.wDCmclU,.. r- l"_TO .rou.c:rwED ......oUft'_ .L.~r-- Typical Water Use Only Meter ....1IICILA1DIVALWII ~~ Ie IIAIIII'''' -~ AL&DWm poo~._TO UNr1'M\"SDWIR , 1'. ~ MPDtIIUA"~VALva aamIIG CC::tn"eL VALW Note:' 1. A Plwnbing Permit may be required prior to the installation of the issued water meter(s). . 2. All plumbing must be conducted by a Wisconsin Licensed Plwnber, except a hQme owner may perform his/her own plwnbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters 2: 1-1/2" require a bypass. I ~ ~ClDllmlClLYALVI! Meter(s) will be insurlled and used according to the above information. it ~ """. V~ 1--19- '" .VbSS ll)tJh~"'- Signature of Owner or Agent Print Name of Applicant and Company