HomeMy WebLinkAboutWater Meter - 09/30/2004 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: `c
Meter(s) Installed At: 5 Lx, Ar
Name of Owner.
Address of Owner. 4.4. S 1..� r�� tw SLk a 41--
Meter(s) Size: 3/'
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi -Unit, Multiple Meter
Single Meter MEM LIMVALOIS
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r 70
11OWO/If MOO
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ar
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Typical Deduct Meter Typical Water Use Only Meter
MO SWUM HIM 1101A71011IMU=
MOWN DOCON101 ONOMMOlt T
ALLOWED MISTARL'MOM l NO 3M/rierr
.wet oscaimioa
MORONI' MIEN
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suaarLa CONMOL VALVE
LUt A N vaunts
IMMO =waft YAM
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.
1-1/2" require a bypass.
Meter(s) will be instilled and th— d according to above information.
Si -ture of e of Applicant and Company