HomeMy WebLinkAboutWater Meter - 07/28/2000 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: '7 / Z_ k / ca
Meter(s) Installed At: / 2 o 12 G - • 12 .
Name of Owner: S /4 s GJ c t S TGH /-fat-/ L S
Address of Owner: 2 '733 A L Gary A rl 1..n , 0 s /firo r !'1
Meter(s) Size: 3 /u ''
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter i/ =ER NOLATION VALVES
r„Z TO
EMMET SEWER
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Typical Deduct Meter
YP� Typical Water Use Only Meter
NO *MMWARY
MEW 000wNos oNoANosto mom notation wines •
ALLOwn INSTANT ELVA. NO woman'
ALLOWED
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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.
P e i! /'v /3
Signature of Owner or Agent S Print Name of Applicant and Company