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HomeMy WebLinkAboutWater Meter - 04/15/1999 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: L/ —/5"--/Y. Meter(s) Installed At: I li S mow Name of Owner: rzc— �4 ��s1 fps Address of Owner: 5/U 4.1 G --ie —e- Meter(s) Size: D/,1 Meter(s) Use: Check the Use(s) that apply. Typical New Construction Typical Multi -Unit, Multiple Meter Single Meter NOLATION MVO oseemna. TO sawraRra:weR mama( to 4 Ng= Nauman Va�ve SANITARY =MR auao.a canna. VAL ra uaoMa courROLVaLVE Typical Deduct Meter Typical Water Use Only Meter NO "AN NAR? SEW= oisouROE osioww_ TO rttat MANOR VaLVO ALLOWED newrmer =NM NO siwraRr ORION MOWN* ALLOWED OINCHANGE TO ONNTANV MAN l =LONG coma VALVE 1R{f!R R VALVES VALV a'uMMOCONTR urE va 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. Meters) will be installed and used according to the above information. //441kc-- Signs of Owner or Agent Print Name of Applicant and Company 1