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HomeMy WebLinkAboutWater Meter - 06/14/2005 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: a / /t / / Meter(s) Installed At: es 1- ' LFIA T / -/ Lg fL S T CC Name of Owner: 1 Cs a, c:r it 1--1 -a Address of Owne .l f S / L - > 0 s / IT ©S 11 Meter(s) Size: , " Meter(s) Use: Check the Use(s) that apply. Typical New Construction Typical Multi -Unit, Multiple Meter Single Meter MEN NOW= VAIN= • INITA MI E '"nt"'er aeeest • 7 ALVE . ouoL,eeeiaEto �/y ��y t-- � rerLSneLe+awreonVAUres manna an nfe L VANE r aLaLOao sn I Typical Deduct Meter Typical Water Use Only Meter NO aY.tAR,► AMR MOLAR= VALVE, WAD! Oa1CeNIANE oMeEwwETO ALLOWED s ntARr Mni1ER nb aAMtARr smut DM:NAM ALLOVAID INNrAarsem • MOM CONTROL VALVE . sumo./ waxen MiOMO CLAVA2. 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. °1 -Sc/-N / Or e G. Signature of Owner or Agent Print Name of Applicant and Company