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HomeMy WebLinkAboutWater Meter - 03/02/1999 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: 3 Meter(s) Installed At: 3 7 TT t.(,) a L j (00 L Name of Owner: YAM !"t�u c r.S Address of Owner: 3 3 7 trovs -i- Meter(s) Size: Meter(s) Use: Check the Use(s) that apply. Typical New Construction Typical Multi -Unit, Multiple Meter Single Meter ItTE!l OOMTAR VAMS i OrQMROETO SANITARY SEWER ovtow� 7 11"--11' 1!O{ATIOR VANE= iNrTAl1Y fIYM�! Swam canna. VANE r SOLO aa eaeROLVANE Typical Deduct Meter Typical Water Use Only Meter NO SANITARY want oOeHAROE OE_OMROETO �TERYOLATtOtIVAWEi ALLOWED SAMMIE' SEWER NO SANITARY SEWER OSICSAINIE ALLOWED OISCHAMISE TO UNWARY SEEM a CONTROL VALVE tiaTfle ROAMS vANE, SUSINI a 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 informs 'on. -e ery,,4 4:/- Signature of Owner or Agent Print Name of Applicant and Co pany