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Water Meter - 02/06/2002
• CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Dates -6- 0 Meter(s) Installed At: © . • ''r' • Name of Owner: r C Address of Owner: « " Meter(s) Size: 1 r+ Meter(s) Use: Check the Use(s) that apply. Typical New Construction Typical Multi -Unit, Multiple Meter Single Meter NOM NIOLswi uVALVE, 01104ANDE T0 swum inane inniniaannTo mama mamma MVO a ,+ Wawrarer savant waLnwa =ram VALVE rNEMOCOWMOLVALVE Typical Deduct Meter Typical Water Use Only Meter NO Wamraar WOVEN DSOwNO( aOeuarmE ��WNnuncMVaWp ALLOWED seanuer NO SAWN" • UNWARY =WEN WELONO COMM VALVE 11RWiN 'spume/ myna Ouar-is = a x 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. Sign. e of Owner or Agent Print Name of Applicant and Company