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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH W ATERDISTRIBUTION WATER METER PERMIT (please Print) Date: '3 - '22..- 0 \ Meter(s) Installed At~ 2.3~ L H-'Hk""1 ~. Name of Owner: tl-<C'!."-\A. c~,,_,- '"'- Address of Owner: ~~-2... ;..#.~ c.J<..n"'J L_~ Meter(s) Size: -:J.l'-i' Meter(s) Use: Check the Use(s) that apply. Typical New Construction V Single Meter ~ Typical Multi-Unit, Multiple Meter 1aTEIl--.A......ALVD ~ . .--t u.-1I'_Ta ,...--MNlI'M'I' __ ~ .J' .. MPD ISOI.'..... VALva ---- -.DINlICCIfJRGL VALVa ~~_nD ~ SMlrM'l'UWU ,.,..__CCIIIIIIllLVALVa Typical Deduct Meter NO UMlfM'l' ......CISClWIIGI N~ ~_TD ALLDWm IAMrM'l' UWI!It ~ ~ - ....-n:_ Typical Water Use Only Meter amBIl1aiA..... VALVD +~ 1: : :;:~ = I "~catmtaLVALVI , 11IO SANrrNl'r -"'SC:H... AU.DWm -.-_TO SANrrNl'r sawa Ir....- /' A 1IUIIl1lOU.1'DI VALva ~ --CCIII'RClLVALVa 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 instrlled and used according to the above information. r Agent , - ~--