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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (please Print) Date: \ \- \ - 00 ~ Meter(s) Installed At: 2.'-\0<:.. ~\L-\c.:QrJ L"". Name of Owner: S\ -'l't\ ~ C-;"" ~ 1 1%." -~ ")~ Address of Owner: .S'""""" <- Meter(s) Size: '3/J.../ . Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter Typical Multi,:,Unit, Multiple Meter .rER .:ILA1ICINVAUID ~: ..... D tc: WlGETa .,.-MNn''''''' __ ~DISCM""'Ta ..-- 1MtI''''''' aMR ./ .. MKI"EIl ~1'1aN VALVD ~ aaDING c:cN1WClL VALVE 'k""'...... CCImICI&. vaVIE Typical Deduct Meter NO UM#NIl't IaMIt DI8CII1", AU.DWI!D Typical Water Use Only Meter ~ ; ~ ....&., .. N~~<:: ftI. l~"TD ......""" aM!It ......1ICLA1'1aN VM.VII . r-~ . ~_ . j:~; ~~m;n .........~. ......... . .. I. ~~Ta ....,.""" SIWD I ~ - hO\:)~e- Q-f\ ~CONnIlOL VALVIE . ro<..~ t.J~ \ \ .. /' . ~ MUEltIlOl.A1'1aNVALVU ~ CCIaRClL VAl.VIE ~~~r O'r\\, - 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::: 1-112" require a bypass. Meter(s) will be insUrlled and used according to the above information. -~~ Si r or Agent \he-- ~ Lv~,",,~ (;>1",""" Print Name of Applicant ana Company -. - ---