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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (please PriDt) Date: /0 /tL/tt ( Meter(s) Installed At: '2 3 J. 2-- !-I! C~K.~ rl- Y . LA-- '["') If'?' Name of Owner: 1 AvL- ~A IL- 5 "Ibv S .. Address of Owner: Meter(s) Size: 0/ V Meter(s) Use: Check ~he Use(s) that apply. Typical New Construction ~ . Typical Multi-Unit, Multiple Meter Single Meter 1IUEIl1IG&A11DIIVALVD ~ --- pat "..TD .",..-.....AlWIlMl!R ~~TO ..-- IANrrAIWawu I' -4 ...-rD1SCXA11DIIYMoVD ~ --.DING CCN1"IIOL YALVE ,.,..__CDmICLYALVE Typical Deduct Meter NO UMl'fAIW ...... DIIlCII1_ AIJ.CWI!1) Typical Water Use Only Meter {IlI~ ~"'TD UMrAln'_ MnMIIl:lU11DII vALva +~ 1: " =.'~: ~ I ~ -..... CONI'IIIaL. YMoVE . NO u.rAln' - D'SCHI", AI.I.DWm ~"'TO UMrAln'SllWIJI .. /' ~ IIInDIla&A1DfVMoYD ,~CICIIImIClL YMoW A Plumbing Permit may be required prior to the installation of the issued water Note: I. 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 ~ 1-1/2" require a bypass. Meter~. will e ~ed according to the above information, 4~ W /' ------- 1'\ L. j. tc/lVSC/A/ - Signature of Owner or Agent Print Name of Applicant and Company , .. _..