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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (please Print) Date:. 3-1 L.. -DI . Meter(s) InstaDed At: . '2.. ~~ f3 H 1~6k..-V U. Name of Owner: D A ~_ IV'\ DR- 'R iLL --:{ Address of Owner: -z-' ~ g '::l-r c rC-.-A n-- "f LA- . Meter(s) Size: '3/1 Meter(s) Use: Check the Use(s) that apply. Typical New Construction \-.l ". Single Meter ~, . Typical Multi-Unit, Multiple Meter IIBEIt 1IClLA1IOIII VMWII 'i- --.. _u~'" CJllfCav_TO ...-MNlfMrsawa ~~_TO ..,...- MMMr lIllWIft J' ... MUIJlllCll.A1IOIII VALva ~ -.DNICONrROLYALVI ......... c:c.I'MIL VALVI! Typical Deduct Meter NO 8/WffAlt't IRWI!R OI8ClII'MIK ~~"l~TD AU.DWI!D ......Mr_ ~ po Typical Water Use Only Meter .. / j ~ 1IOD1IO&A1IOIIIVALVQ __CCImIGL VALVI! 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. III1BlIClI.AtIC*VMWII +~ 1 = ::::: ~ I ~ -.... CCIfIRClL VALWI! . NO UMrMr -c-eH/IlQIE AL&.OwEIl -....TO MMrMr__ ~ SAn.l?~A/s PLI1.11 j Print Name of Applicant and Company , - _. \'K~l