HomeMy WebLinkAboutWater Meter - 07/14/2003 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: h - r��,
Meter(s) Installed At: . i ') r-� -� :<.s u�,r� 17 (� •
Name of Owner: S
Address of Owner. 3 i y4 IC `.
Meter(s) Size: .
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter MINI VIOLATION VALVES
OIaOw10ETG
da ,/ aAWORT SEWER
�Et M0{AMONVALVEi 1.1.
•- UAW n COMtROL VALVt ra�aal0 CONI O.VALVE
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Typical Deduct Meter Typical Water Use Only Meter
NO TARV rEree IIoLRTESiVwVES
=woe OMMAINCIE 11110MAIIE TO ALLOWED swum Ib aM/rARY
EOM tAlEauAllE
aaowwETO
SAIMTAI 'SEWN
%
NUM coma VALVE .
umuzse VALVES
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a*nua COMM 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.
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Signa ; To • wner or Agent Print Name of Applicant and Company