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HomeMy WebLinkAboutWater Meter - 07/09/2004 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: ( 7 l q 1 e ( l . Meter(s) Installed At: ! S S 4 - , 034 T I-1- L7 a 7'a 0 17 D P..... Name of O w n e r . 1 ) I F w 4" I- e 1- 1 & _S • Address of Owner. 1 9 `I 1 (3 a GS c 1d s 7-12-(71.77-} o s 14 t7 o 1.1 Meter(s) Size: 3 /9 ' • . Meter(s) Use: Check the Use(s) that apply. ' Typical New Construction , Typical Multi-Unit, Multiple Meter Single Meter // win SOLO= VALVEs MICINAMIE TO '. aEl/M1RaEMII • 3/3. TO +a . • . �/ max .*------ (wry( esoursion Vann ' ~— iw.nma CONTROL VALVE raNi.13111laCaleROLV.WE Typical Deduct Meter Typical Water Use Only Meter NO SANRAS!, NITER !<211LVQ os 1M IIMER MOW= 11•061ROEto ' j • MAW= aE1RA DIMMER ND aNNTAR► • ! ALLOIM� TO • . • a+wrAR,r=WM 4 .4 70 ,` ' ` asarra comma VALVE . • mum:a VALVB • mama Ceram 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. - ` , ' ' _ G-1265 S c /ali I 0T . ID4- S PZ-13 G Signature of Owner or Agent Print Name of Applicant and Company