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HomeMy WebLinkAboutWater Meter - 08/02/2004 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: V z' o Meter(s) Installed At: Z g t o r-.r Z Name of Owner. M s t' L...s e ,rA -L Address of Owner .P, o Q o x. Z e l S ©eANY...c.st.N_ SM 9 03 Meter(s) Size: Meter(s) Use: Check the Use(s) that apply. Typical New Construction Typical Multi-Unit, Multiple Meter Single Meter METER E LAT=VALV ES o■owatio annal anarmer sacra l Tar„, 1114111Ifellf TE. VALVES IRCIL VALVE r.Sa.O CIMOI CR.VALVE Typical Deduct Meter Typical Water Use Only Meter MD MOW Mr MUM WOLATIOW VAL U l ALLOWED swum IBM RDSOUTAR► 1W2 W DMICHmaz ALtarr® TO SANITARY Sawn ,.3. COMM VALVE unmans VAWO ammo vase 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 instilled and used according to the above information. i 64. /sic Signature of Owner or Agent Print Name of Applicant and Company