HomeMy WebLinkAboutWater Meter - 3/5/1998CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: ~ - s - ~ ~
Meter(s) Installed At: ~ ~.~ G e l~F~ 1r,'S b~,
Name of Owner: ~/ w iy yvr,., ~ s
Address of Owner: /dHZ ~;PrcP ,4„P
Meter(s) Size• 3~4 "
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
OrCJ1AR0E TO
ETER ~~ aA1MiARY DER
~- YETE!! 1lOLA710N VALVEs
Q11LDIp0 COIRItOL VALVE
Typical Multi-Unit, Multiple Meter
~e ~aounor~ vAwEs
y
`_ OIiG1ARGE TO
f SMIfTAMSEwER
r Et1EaM0 CONi110L VALVE
Typical Deduct Meter
Typical Water Use Only Meter
No iANffAat
aew~ wEaunoE o~scwvtoE to awe atoLAnoM vALVEa
ALLOWED fANffARY ElYII[It
~a sAwrARr
aEwEa oisa~AROE
--- ALLOwEo
o~d+AaoE to
sAwrAnr sEWEn
suanwo coNrROL vuvE
i` ~ ~
~ --mot aoLAron vAwEs
~ Eur,or~a coeraoL 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 thier single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters > 1-1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
~`~
Signature of Owner or Agent