HomeMy WebLinkAboutWater Meter - 10/15/1998 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
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Date: 1 a/ I. C / 9K
Meter(s) Installed At: / G 2 ege. -,L, c 4 ,r
Name of Owner: _ S h'ot c p s c3 c us ati &oe
Address of Owner: / 50 /Lot e Ngz_J c i n c L
Meter(s) Size:
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi -Unit, Multiple Meter
Single Meter >/ METER ISOLATION VALVES
awwloETO
SANITARY SEVER
emu.
OSICNAROW TO
/ Ar / SANITARY SEWER
— mot ISOLATION VALVES i
f� aIaDEIO CONTROL VALVE
SuaOSIO CONTROL VALVE
Typical Deduct Meter Typical Water Use Only Meter •
NO SANITARY
SEWER OISOIAROE OISCHAROETO NETER ISOLAKON VALUES
ALLOWED W11TARY sawn
NO SANITARY
SEWER DISCHARCIE
ALLOVIED
01Ic4ARSE TO
SANITARY SEWER
MOM CONTROL VALVE
t1EfE,1 ISOLATION VALVES
SIMUNNS 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.
P ?c tiff/3i,v6.
Signature of Owner or Agent
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