HomeMy WebLinkAboutWater Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: !-D °/O . -o ?-
Meter(s) Installed At: 4 /5 0 ''c-' 'Qyr4,... /It- �-
Name of Owner: r`_= i- e4 1Dt -11 f, c< s
Address of Owner: t ie 5-c I-E,- yefiY_ .4 i./ e- S lx Sao 2
Meter(s) Size: i,
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction . Typical Multi-Unit, Multiple Meter
Single Meter X 1IIElBtNDMtDNVALVES
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m--- �lrfJt m
N um s.vanes
tuaos.a COIITHOL VALVE
raULDNO 1:011111101. VALVE
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Typical Deduct Meter Typical Water Use Only Meter
NO a R DISCr OWEN WOLAD N VALVES
sewo�osowDa�t a�owoETO .
ALLOWED E AIlTART SEWER I
+ NO summer SEWER DEIDNAAGE
ALLOWED
_
441.
onnisiina to
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•
l WELDWO COPOD . VALVE .
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mason =max wave
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.
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ignature of Owner or Agent Print Name of Applicant and Company