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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION I WATER METER PERMIT (please Print) Date: /2 -/4-l1.f M t () I II d A . J&lfJY7I?tl:;V:Y~-:E~';~&...L~ e er s nsta e t. ,-~~"-"'-_.- . -- Name of Owner: ~:)t:. ('t,!,.r-5 CdVI}f.".C1("./r~ Address of Owner: '1 wO W. SOlA f1.- p",^ It: Ave Meter(s) Size: /1. Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter v Typical Multi-Unit, Multiple Meter 1oIEI'SI8CXA11DN VAUtD ~ ... --l P.a1 "..TC .,-UMtrNfrI2Wl!ll ~~_TO ......- UMrNfr lIaWQ I' .. MElD 1SOLA11DN VALVD ------.DlNG~VN.W ......~ Cl:lICI1mL VALVE Typical Deduct Meter NO UMlfNff 8MR DISC:H'_ A&.l.OWC ~ Typical Water Use Only Meter p~ L'"TO UMTAIn'I2WI!R -.n!R IlGUTlCa",AUtD +~ 1: :=::~ : I .~ ~CDNfRCLVALVl! . NO &aMrAIn' -~..... ALLOWED ~."TO &aMrAln'seWER .- ul<TJ'. ... /' IIETEJt 1IC&A11DN VALYU ~ aaDIIGCClIn'RCIL 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 his/her own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters 2: 1-112" require a bypass. Meter(s) will be installed and used according to the above information. ~-~A J(~5 /,,(~{. Signature of Owner or Agent Print Nathe of Applicant d Company