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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DiSTRIBUTION WATER METER PERMIT (please Print) . Date: '7-~g~o~ Meter(s) Installed At: 6"06 /I t/:::A T'!'OIJ ~ Name of Owner: r)oHJ-! /rlf?.IJJ.J~'rr . Address of Owner: S,4 Me Meter(s) Size: 3/'1 Meter(s) Use: Check the Use(s) that apply. Typical New Construction . / Single Meter ~ . Typical Multi-Unit, Multiple Meter .-n:R ..xA1X*V.tUID . " ... ~ ~..", .................M\" lI2MR _/ __ .-n;IlISCIIA11QIII vALVD . . ----- a&DMI c::IN1WCL VALft ~. ~ "'... lJ'_TO ~ ....M'tSllWl!Jl .-__CCIftIICLVM.VE Typical Deduct Meter lID UlltfMl't ..-wP CalC"'" ~'_'rO AU.OWI!D .....M\" 82WI!IIl - L"A>' ~ Typical Water Use Only Meter Mltr!It 1ICILA1DIVAI.WII +~ 11IO lIMI'rM't -~.. AUDWBl ""'OWICR TO lIMI'rM'tRWl!Jt u I ~~CI:lImQ.VALv! . ~ /. _____ IlSER 1II(u.'a~VALva ~ carr...-x. VALVE Note:. 1. A Plumbing Pennit 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 perfonn his/her own plumbing within their single family, owner occupied home. For inquiries please call 236-5052. 3. Meters 2: 1-1/2" require a bypass. Meter(s) will be instmled and used according to the above infonnation. . ./-;;:~ ~r1-J <) 'N6-rLi__ LI0-rl':llPP~'~.5 Signature of Owner or Agent Print Name of Applicant and Company