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HomeMy WebLinkAboutWater Meter - 09/24/1999 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: 5 Y /`rqy Meter(s) Installed At: 310 u/ 6 6 <-c Q� Name of Owner: c u Address of Owner: N zvAI che,,,,,w. a Meter(s) Size: 3 4, Meter(s) Use: Check the Use(s) that apply. Typical New Construction Typical Multi -Unit, Multiple Meter Single Meter METER ISOLATION VALE aICNweaE TO SANITARY SEWER oaou�E to ME7ER LSOIA,TION VALVES UNMET SEWER amnion COiflltac VALVE SLidfNO CONTROL VALVE Typical Deduct Meter Typical Water Use Only Meter NO SANITARY SEWER °SO S �DIANIQE To MErf�t ISOLATION VALVES ALLOWED SANITARY SEWER NO SANITARY SEWER DISCHARGE anTZIE DISCHARGE TO SAA*TARY SEWER SULDINO CONTROL VALVE 1HTDt ISOLATION VAwes ISAMU CONTROL 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. Meters 1-1/2" require a bypass. Meter(s) will be installed and used according to the above information. Signature of Owner or Agent Print Name of Applicant and Company