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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBOtION WATER METER PERMIT (please Print) ~. /~, 1oL( . Date: ~ t..!:. . Meter(s ) Installed At: 2~ 2..0 H '; ck 0 -" Y LO-v\ ~ . I Name of Owner:,T De Sd'lev-e...:- Address of Owner: 2 Y 2-0. 14; c..lu,-t La.," ~ Meter(s) Size: ~ ~4 ~ , . Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter / . Typical Multi-Unit, Multiple Meter ..,. --.A_VM.1III . "'i ..... t lIlMK1a .....-.....MY II!MIl _/ ...... MaDISaLA_VAUIII . ---- -.oNI CDIII'RCIL VALVI ~. ~ ftI~ '-1'0 .,.,- ........awa .-__c:mma.v.... Typical Deduct Meter ., .",.,Ml't '''''1'11111II:11.1'_ I....... .,_1a AL&DWI!D UMl'MY_ 'L.~- Typical Water Use Only Meter .-nlII1IlXA....V..... +~ .,........ -ftISOWIGE AU.DWID ...~a..TD ..........SIWD .. )':. ~ _......uA...DfV...va a&DIIID ctWroCL v...". 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 hQme owner may perform his/her own plumbing within their single familYt owner occupied home. For inquiries please call 236-5052. 3. Meters 2: 1-1/2" require a bypass. I ~ .......cmma.vALvi . Me~l be ~led and used according to the above information., ' (,,~/I C _ ~-h"'J c.. k o. W el 1-( Signature of Owner or Agent Print Name of Applicant and Company <9"i NEl LL EJVlIZTZ. Pi<. I $ E3 J:1V c..