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HomeMy WebLinkAbout2002-Water Meter CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT /...8'- Dot (please Print) Date: Meter(.) lostaOed At: if '5 (', 5'" /lie, J hr 0 c It Name of Owner: ( (.J "', "J ,.. :Jufl 1 I" Address of Owner:--:Lt~' 7'7 f:. lL~' 1/ ,~ (,1/../' Ii} v1. if --I'J e Meter(s) Size: Jf/tl ,.j Meter(s) Use: Check the Use(s) that apply. Typical New Construction V Single Meter ~ Typical Multi-Unit, Multiple Meter MKI'EIt BC&Al'ION VALVD 'i -. Nap- ~"Ta ~~_no ~ IANn'ARY lIIWIJI ~""'ARY_ / ~ ..rIJllSGl.Al'ION VALva ---- -.mNG CONTItOL VALVE ......~CClIIIRaLVALVE Typical Deduct Meter NO UNrrNl'r IaMR CISCI p,.. AU.OWI!D Typical Water Use Only Meter (I.I~ L....TD UMrARYUWBt ""1lICII.A1IClIIIIVALVEI +~ I: ': I ~- , 'I · ,~ I ~ ~CClJmIIClL VALVE , NO lIANrrAllT 1aWMl:Mat.... A&.&.Owm ... -...,... TO lIANrrARY sawmt ..- /' ' ~ 1IE1'EIt 1IOLA1IClIIIIVALva __CCfftROL 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 home owner may perform his/her own plumbing within t1:1eir single family, owner occupied home. For inquiries please call 236-5052. 3. Meters 2: 1-112" require a bypass. Meter(S)... W1.~,.~~be inStal. led and used according to the above 1.'nfOrmzatio . ./...' &,. ~ . / 1~/.2 Lc 4 ,;',- -' . t.('.~ - ~- ~ ...(// -~ _~~::::z/.: . " '& <1. ("t:.'< ~ ""'';1 Ynf(,Y" Signature of Owner or Agent Print Name of Applicant and Ccmi'pany