HomeMy WebLinkAboutWater Meter - 09/21/2010 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 4 -Z i 1 FJ,
Meter(s) Installed At: q 3 �..:.IL•�. -g ��"
Name of Owner. 'nay t % i Z : •:.Y..
Address of Owner. 9 S 5 L; UI. � �c
Meter(s) Size: VA-
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction , Typical Multi-Unit, Multiple Meter
Single Meter OMR10OLA11ORMAO
•
OUCWIOETO
SMOTANT MAK
• ��J.
: } osemsROE
/ smarmy seven
c est noun t VALVE, i � +.�
tuaDMa CCINTR L VALVE
Aro4EILDIM CON OLVALVE
Typical Deduct Meter , Typical Water Use Only Meter
MO aMRTART MOM ISOLATION VALYO
aevaR DO CIMROe 0.OMROTTO
ALLOW= SMOTART MOIR MOaMMTART
OMAN OOICINAMOE
ORIDMROE TO
MOSTAR MOM
.a3.
/ -
IIROIlO =WOOL VALVE .
��1�7EJt man -
swam coma. 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 -1t2" require a bypass.
Meter(s) will be installed and used according to the above information.
Signature of Owner or Agent Print Name of Applicant and Company