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HomeMy WebLinkAboutWater Meter - 08/04/2003 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: 6 Meter(s) Installed At: �3 5 z° 5e 1/e- t Name of Owner: C" /arcs & /4 m Ys y .L° ha Address of Owner: . Meter(s) Size: • Meter(s) Use: Check the Use(s) that apply. Typical New Construction v Typical Multi -Unit, Multiple Meter Single Meter wren .ouT=YAWN ameamarro .31.. `' AAM Q [ART Sew • 1 11- 1 7.1""-.1. a ,,■ a+wrAwr was mew= vsa.vos —se mamma =MIX YAW • Typical Deduct Meter Typical Water Use Only Meter NO BANTAM MUMNCaAnoM YAWS aewoe osCIMROe E■O)wOero • ALLOW= SRIRARTMN, MD swam" sewn sr5. essenanna TO • IAMRARTSEIMR ,.3_ - l aaaNO COIRROL VALVE . ' ULAN OI VALVES SIiOMO CfllTaX 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) '11 be installed • . d used according to the above information. a ifs Lool : ignature of Owner or Agent Print N e of Applicant and Company /V /0 I-1 `� w ry 14 e �'r �� et / j -i, q i