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HomeMy WebLinkAboutWater Meter - 09/05/2000 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: % / S / c Meter(s) Installed At: / g aG G /,c, G G-tz C. i 2 c Lcd Name of Owner: s Nr/wca Address of Owner: 2 '7 5 A «o r, 4 13 L v , OS /t r aS 1-( Meter(s) Size: 3/y " Meter(s) Use: Check the Use(s) that apply. Typical New Construction Typical Multi-Unit, Multiple Meter Single Meter I/ NETER ISCRATION VAIN= anwosTO R sEweR \ �� oue�wiaETo 7 ,...MMITANY aasarA*r sawn rm VAWEE ma -VALVE • a{SOMO CONTROL VALVE Typical Deduct Meter Typical Water Use Only Meter NO SANITARY amen OOpWIpE 7o M MER onetsma 1*OLAlfow VALVES ALLOWED SANITARY SEWER MD SANITARr .WIN INICIRANGE DISCHARSE TO aAMfARr SEWER ' SIRLOINS CONTROL VALVE - o11[1tA ISOLATION VALVES MOONS COMM WNW 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 P i.v Signature of Owner or Agent Print Name of Applicant and Company