HomeMy WebLinkAboutWater Meter - 06/26/2003 0b/2b/2003 11:35 1- 920 - 730 -0698 HANSONS QUALITY PLUM PAGE 05
CITY OF OSHKOSH WATER DISTRIB
U'TION
• WATER METER PERMIT
MPMame Punt)
Date:a4 - o3 .
Meter(s) Installed At: - _ �' _,.. .0.4 If j._" 1
•
N
•
ame of Owner: f • 4 - -
• Address of Own r A: , __..__ .
Owner: f0!! i
Meter(s) Siz= ,
Meters) Use: Cheek the D�s) that *pp'
PpiY
Typical New Co Typical Multi -Unit, Multiple Meter
Single Meter _
rt■eser,�tsvetras
a�wraTe arm
...\.. / �.ew o rtn
wsaooeNrrtllly a<-a Nar a f ee
iesw rams
Typical Deduct Meter �•` Typical Water Use Only Meter -
aea
1
Erma ellehimal
•
warairr iv
s
""-.--..".---- "tea =Mix raw
Note: 1_ A Plumbing Permit may be required prior to the installation of t issued wafer
meter(s).
2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a home ,
owner may perform lusher own plumbtng.witizin their single family, owner occupied
home. For inquiries please call 236 -5052.
3. Meters >_ l -1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
/ .t ' / C . - Mse,7
Signature of or Agent Print Name of Applicant and C �y � a '�
d� fvrr7 disc