HomeMy WebLinkAboutWater Meter - 03/02/2004 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 57e1° •
Meter(s) Installed At: 2 3 s� So`"_- Pr'` '�`L `0-r •
Name of Owner: AA c_,&,4,
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Address of Owner. - L Le 14 (E'D ROC YZ-D OSti BOSH 5 L I
Meter(s) Size: . .?
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction - , Typical Multi -Unit, Multiple Meter
Single Meter I11111 E A1SOIVANN
0•011.11aE10
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ini::1".4.11*. �� IL LONOCOIIf COMM YAWS
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Typical Deduct Meter Typical Water Use Only Meter
NO SN.TARY MIR 1 01A1E11 1OLVOI
WW1 DOCrellOS O■ONAN1OS7O •
ALLOWED WINEN YUMW I NO ILANITMV
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• .NOa10 CONTROL VALVE .
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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 • ording to the above information. //JJ
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1 _ ure / O ' er or Agent Print Name of A jlplicant and Company