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Water Meter - 12/19/1997
CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: 1 1 6 7 Meter(s) Installed At: S 5 "7 h.1 t'nC� Lr©o Name of Owner: 0, t x r f- i SS 14e m es Address of Owner: L10 w. 6 A g Meter(s) Size: /y" Meter(s) Use: Check the Use(s) that apply. Typical New Construction y Typical Multi -Unit, Multiple Meter Single Meter aims ISOLATION VAWEi CUOMRSETO smarmy sawn OMIONJN ETO A SANITARY MV Ir ut =anon yams guineas =um of VALVE MONO CONIROLVALVE Typical Deduct Meter Typical Water Use Only Meter NO SAMMRY SEWER OIEONROE ODOIwwETO NEM WOMIION VALVES ALLOWED SAWN" WNW NO SANITARY SEWER oI/CNANOE a 1a a ALLOWED OMICE ROE TO IANITARY SEWER 1177 �.a saaaw COMM VALVE ISOLATION VALVES guineas comm. VA LV 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