HomeMy WebLinkAboutWater Meter - 05/11/2005 __• �« tJJ'Gt1J WRIIMM7 rLUmnirvu HAUL 14/87
CITY OF OSHKOSH WATER DISTRIBiTTION
WATER METER PERMIT
(Pleat. rrnt) •
Date:, 5
'Meter(s) Installed At: 7 /S5 4.4. v
Name of Owner: /.i /nrr/ ,�.1g1w
•
O y�
Address of Owner: . `V�. /r GA-. /6wN at /at fv. /r if d4 / s-vp„,.
Meter(s) Sixes ?�ir •
Metar(s) Use: Check the Use(s) that apply.
Typical New Construction • - Typical Multi -Unit, Multiple Meter
Si
•
amostaarve
mew mast •
t - ---te
SOW= ' 1111 ._ ""'�""*°wq
CisenecciraLVE
r•asotaaostweta.wmR
•
Typical Deduct Meter Typical Water Use Only Meter
ra armar
ALLOWED awarRraeWIR +
aoawnar
•
salodar tom
worm
�wie .vea.ee 194MS
Ira; a wwwe
Maass bcNALVII
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 instadl used according to the above information.
Signature of Owner or Agent Print Name of Applicant and Company
•