HomeMy WebLinkAboutWater Meter Permit
CITY OF OSHKOSH WATER DISTRIBUtION
'. WATER ME'TER PERMIT
(please Print)
. Date:5/~){)'~
,
l\1eter(s) Installed At: 18 3 ~:> \ \- \. c-~ It (', " [;..v,
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Name of Owner: , c>.. Y'V', If~':\ \..1 "'~ Od..... ''\--c-~ .""
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Meter(s) Use: Check the Use(s) that apply~
Typical New Construction ../ . Typical Multi-Unit, Multiple Meter
Single Meter 1- MUIIl......11QIItVALWS
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.....- UMlrAlf'r li:lWI!Il
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... ....-st ISCX-'nclItVALVD .
-----...... CQNTItCX. VALVE
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Typical Deduct Meter
NO UMlrARt
awmt DI:ICIII'_ 1If'K V"'TO
AL&DWI!D UMlrMTawB
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Typical Water Use Only Meter
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NOUM'I'MY
aWI!Il OISOt.....
AU.DWED
t"'U:W... TO
UM1'MY RWDI
-. /.
~ 1I4T!It_V.'l~VALVD
-....a C0Jf'.-.x. 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 home
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 ~ -....aCClllma:lL VALVE .
Meter( s) will be instroled and used according to the above information.
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Signature of Owner or Agent - Print Naine of Applicant and Company (::,<">.~~~''" ~ ,~d~ \- ';
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