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HomeMy WebLinkAboutWater Meter - 03/01/2001 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: 3 /! /C/ Meter(s) Installed At: 2 0 I N G e.;-12 c� (3 Name of Owner: s H w e ,4 s c3 c Le s T rt (4 G rt �S Address of Owner: O S s A L Gc IIM f ) L v0 . Meter(s) Size: '' /Lt • Meter(s) Use: Check the Use(s) that apply. Typical New Construction i/ / Typical Multi -Unit, Multiple Meter Single Meter mita lOOLIMCRI va,OS OINCIIMOR TO SUSTAIN SWIM IP \-- mow= TO • MITER MIAMI yawn - . `/ Warmer sawn rEUaaETO COMM VALVE • Typical Deduct Meter Typical Water Use Only Meter NO warmer SOWER O oTaOwmETO NaTT� •oufloN VALres ALLOwED swum SOWER NO $NQART MINOR OISCHAINIE ALLOWED w E TO A SEWER WILDING Cavan,. VALE - ` IIOT!!t YOMTION yaLVOa _ OOLONG CONTROL 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. .�.l.�. I'ol-S Ptur- tar ,�.c Signature of Owner or Agent Print Name of Applicant and Company