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HomeMy WebLinkAboutWater Meter Permit . . .., . <:' 1: ,',:'- ,..... "". . .... .:. : :': ':'" '::' , ~ CITY OF OSHKOSH wAtER DISTRIBUtION WATER METER PERMIT (please Priat) ,Date: 12/r1/~) Me, teIis) Instaned~: / :J:;_}-lJFEl.-LV~J'/~/p Name of Owner:" . '0 L. (-.- ' E ~ (7 ,F- F"'- r-c' " . Address of Owner: ,$-~'\€..... ' Meter(s) Size: . 2..1 ( Meter(s) Use: Check the Use(s) that apply. TyPical ~:ec~:;tion K . . Typical Multi-Unit, Multiple Meter IiCrER~YAUIII . ~ .. . ... I~I .. - ~CI"ill'~l'O · ~ UlllrMT IIlWl!Jl ..~ I ~"Ta ..".-UItlfIltr aw!Il J' . __ - .-nK1SQLA11CINYM.VII . ---- JUI,DINCI c::INJ1IClL vALVE .. (~l ... ......-=-=-na.VALVE Typical Water Use Only Meter IlIUIJtIlClLA11CINYMWD +~ Ie Ulllrlltr -DlSOlWIE AWMl!D ""'~"'TD ~MTsawa ... I ~ ~c.amicx.VALV! . -. "/. ~ MIl1DllIGAiDeYALWI -.-COIIfA1 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 Pltirnber, except a hgme owner may perform hislher own plumbing within their single family, O\VIler occupied home. For inquiries please call 236-5052. 3. Meters ~ 1-1/2" require a bypass. S)j1~~used according to the~oveinformatiOlL . c ~f~- /':)--(( I-M\\J J~IIlJ Signature of O\VIler or Agent Pri11tName of Applicant and Company