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HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSHW AtER DISTRIBIJTION WATER METER PERMIT (please Print) . Date: (tl-r?-6J7 Meter(s) Installed At: ~~ (' f.:.trf:~NR /.t!:.<t:.e!'" Name of Owner: /'?'//J12 Uljl'5'M1t1i1,J' Address o~ Owner: . - i~ /Aa~f~: cr I Meter(s) SIZe: - !:.... ~ - . Meter(s) Use: Check the Use(s) that apply. Typical New construction.. V . Single Meter ~ . Typical Multi-Unit, Multiple Meter IIE'I'ER ~TII:lIIVMJID . 'i ... I. "..TO ......- UNI1'M'f I:I!WI!Jl _/ ~ MEtBISCX,I.TII:lIIVM.\'D . ---- a&J)IIG CCltII1UX. YALW ... ~. ~ .,...~ u..iRn:l ............. UMrM'l' ~ . .....__=--x.VALVE Typical Deduct Meter ICI UMtfARt .-wDDlIICIU_ r- V_TO ALt.OWI!I) UNI1'M'I'SI!M!It -L"~.~ Typical Water Use Only Meter IIIIlm!It IICX.\TII:lIIV.uIII +~ lID &Um'AlIIW -OIIIOWIGE AU.OWl!1:l ""lOt..... TO UNrrM'l'SIW!K ... I ~ ~c:::aII1IRQ. VALVE . ~ ~. _____ IofJB'!It IIICl.I.\;QC VALva -.DIIG con"~ VALVE 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 hisJber Oml plumbing within their single family, owner occupied borne. 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. . ~ ~~ ... "1"~ ftA"-. . ;:nt!(~ ~Y!. 7 Signature of Owner or Agent Print Name of Applicant and Company