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HomeMy WebLinkAboutWater Meter - 10/23/08CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERNIIT (Please Print) Date: V' ~~ `~ Meters Installed At: ~ C'~ ~ ~~ ~' ~' ~ ~ ~{C~,/~ () Name of Owner. C ~ Ty ~ '~ ~ S ~a S c~ Address of Owner. - ' ~. ~ 5 C- ~'~ `y +~ ~ ~ S I Meter(s) Size: 3 ~ '~l Meter(s) Use: Check the Use(s) that apply. 1./~+ ~•- r~ S c(a,/S e? ~ ~ go_ ~ d 4~ X122 - G--~--'"i'1 mnl ~.5~ 5 t '~"Y~1 Typical New Construction ~ ,Typical Multi-Unit, Multiple Meter Single Meter r~e.ounoMww~o o~awiai~ ~~aiwrue-aewet dsou~to aawrr~r a~weie ~~ uo~o earr~to~vwzvs Typical Deduct Meter Mo awra~ aewoe osow~oa a.awrwato ` Kaowea a+Mrraaa~ MoaiwrNer .awes o ~owea owowwsto . a+rariue~raswoe T ~ a~CiLKYdI VALtlp , fiONOCK'~r~LVwLVE 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 call 236-5052. 3. Meters > 1-1/2" require a bypass. will be instilled and used according to the above information. Sign f Owner or Agent Typical Water Use Only Meter aazaeeoura~vK~ ~1~~s ~« Print Name of Appl C~~, ~pA~s and Company ~~~ ~ lc~Y.S, ~euat~oc~raocv~v~ - w °a ~ r U ~ ~ ~ J N j U W N Z w ^ O = N a a .. n ~ w 1 I W ~a~ w _ _. x O w ~• ~ °w K o~° / rJJ w~ a_ ~rrc w a wNw i ~ Xw OQ zarc 0 Nm a i O mm v 1 -~ w Ww >z O ?K aa ¢ F W 1 N O O Z uua r = 0 rw J x m 2 >a U 1 3 Z F til0 J a ~O 1 w ., a r a ~vX ~ ~ ~ N ~o~ rc 3 ~ W°- °u az ~l ~ ~'^W ~ w W oZ a ¢m =F~ ~ aca wD a°~ Y ~nwo rar a w¢ ~ w xrr woo F ra rz =w a ~~N a_u rao ~~ r"~ ~ x=M ~ :~ YluO S ~ 3 ~ ~ i M ~ ~- (l r'~ ~ ~~- n W / ~~a f w m w ¢a GGGSSS>1 ~ l > N a w z~ z u r N r > = a a x "u X 2 K J i9'x Fo" N J aQ ;r x ~j U ~D ? Z Q 0 w 0 H ao m om uw u a a Y J N Z J ~ m 0 ~r Z N ~3 x o r ua w ao ~ W I~ 2 O J ~ W Ya aW w >a r o ~ Nu d O ~~~~~ J ~ ~-_ ..r-- ;~N ~- ~~_ ~ ~ o ~. U z W ~ W W "' O O J r 7 o N n, w ~ CO N ~ >W / x ~ a o fr//// J > ~ Nj -0 rNO. U ~IJ ~ 1 3> ~` No~coi a >z / ~/ ~ ~ u N x o Q WmU~ Q Nm yrj .Z °o :. '~ o xwoa a ~a ~F- K N3 WF U ? O u YZ2U' K 0~ :..3 ua O o; 0 r,., ~r Y rv Q~ '° ~ ~a Q . Op of ~~ r S Z v O v O x0 r°• 3 ~ N~ aZzZ (~ 3.-, W > Z ~-i o o >w ~~ M M VO ~ a a as W ~a a" ~ rc xi` o °o a y j N C N N ~ ~ ~~ W K a rO¢ v° J S 1p J O =~ w o ~urc F"' Na _ > ti > U2F > rc ~ °~ U 3o ~. ~ Q a uo ~ uw o~~. a °'ua awz w < r ~ ti 3 ~ -WiO ~ ~ VWIm ~ a O ~ O ~ WY W rave 2 N m J Q F- W D ~ Z zW' O zo F ~ U W u ~ O ~ 2 V~ W r ~ U F- 2 O a r a W r Q W _u r W > 3 a ~°,1 ~ O N ¢ux F Z Z as ~ N N ; W u ~ 1 ~LL W~ . ou rM ~ z U; 00 ' as ~ J~ Jr as Wa ~ u m? mK 1 r~ ~ p0 VI w oW 3F '^a `Y°'7' LLo ~ mN ¢Z t JZp m0 < ~FVi 3a i NO~ UW i >g ~ r„i~ wx - u Z40 flx- ~ N uN U w~ ~ s W >s~ inm ~ aorc ina = Z ~k m cJi a ft "u W Z N N O O a u 0 0 I H 3 M L N J a F.. W ~ ~ g Z 0 .. 0 U a a O U M t- I ti O 2 r U O d' 0 ~ o ~ a Q [O W z z 3 ~ I F Z O U 2 F- r 3 a z