HomeMy WebLinkAboutWater Meter - 10/14/1999CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:,,~y '`~5
Meter(s) Installed At: '
Name of Owner• ' . 5 i
Address of Owner. 7 S0
Meter(s) Size•
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
aeowaoato
~~aiwnue+r aawaR
~---- rase azou-noM vKVes
~~ auanea coMnaxvsurE
Typical Multi-Unit, Multiple Meter
~ratale route vw.v~
" ` ooow~oa to
~/ snwmutr stwoe
rauaswoeanaa.vsuit
Typical Deduct Meter
wo awrnuer
:eweROOaiweoa orow~oaTo
Ktowm aw~rnue~. ae~ee
Typical Water Use Only Meter
No aiwrsa,-
aawae o
K~ow~
~~ to
ae~t
~ aaa«o oorr~a vKVt .
1 ` 1~[TER 1i0~ATa11 YKYIa ,
_ `~ROM4CON1f10LVKYE
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 ca11236-5052.
3. Meters > 1-1/2" require a bypass.
Meter(s) will be installed and used according to the above
of Owner or Agent
Q
Print Name of
and Company
rareesounaMVKwea