HomeMy WebLinkAboutWater Meter - 04/08/1999 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
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Date: g 4 7
Meter(s) Installed At: i,' &paea
Name of Owner: G vTt u c7foet
Address of Owner: e1 OJ PAS j 9l y
Meter(s) Size:
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi -Unit, Multiple Meter
Single Meter airm&SOLATION VALVU
SANITARY R S TO R
.N••• fA1NtTAR1' atrvEe
oak:HannaTo
ETER noun= VALVES SANITARY sewn N/
mama CONTROL VALVE
CONTROL VALVE
Typical Deduct Meter Typical Water Use Only Meter
NO SANITARY
SEWER D Ot QE OISCHAROE T O TER ISOLATION VALVE
ALLOWED wer SERER
NO SANITARY
117131SII
ONICIIINICIE TO
EAMTARY SEWS
3ia.
SLwLDINS CONTROL VALVE
N ETER ISOLATION VALVES
SYaaME 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.
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Signature of Owner or Agent Print Name of Applicant Slid Company