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HomeMy WebLinkAboutWater Meter - 10/17/2001 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: /6 Meter(s) Installed At: 605 r rt, 11-- a r -c- C r-- Name of Owner: A% N r PA. a f- Y S C 4-1 0 PLC- Address of Owner: Meter(s) Size Meter(s) Use: Check the Use(s) that apply. Typical New Construction Typical Multi -Unit, Multiple Meter Single Meter mot ISOLATION VALVES OUNINANNI TO r aMarANr aewEN a.owwEto A $MITARV sav Na�nN NOL*floN Immo 1. mama coma VALVE r auaaaa swam vain Typical Deduct Meter Typical Water Use Only Meter No $MrrARV SWAM DIS NOE arao t o re N Al VALVES ALLOWED aAN. ENVER j MD $ANITANV IMAM ONCNAROE ALLOWED -4311''''CF"ew:F•41■1■0. MOW= TO TANV aEMIQ i ll MAW CONTROL VALVE 11tn!t NOLA1tiW VALVES 16............. MOM CdNH1aL 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 their single family, owner occupied home. For inquiries please call 236 -5052. 3. ers -1/2" require a by Mete will be i according to the above information. 7 D R. iv_c___ A Signature of Owner or Agent Print Name of Applicant and Company