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HomeMy WebLinkAboutWater Meter - 12/09/2003 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: /a- 9...4S • Meter(s) Installed At: IS ?/ 570 re. ,• //i,ia ,,lai• Name of Owner. C I &rir ov sity.► .t eio INrs - Address of Owner. t 'l S"G Lv i f/ .' 50, r "r Meter(s) Size: .1 Meter(s) Use: Check the Use(s) that apply. • Typical New Construction , Typical Multi-Unit, Multiple Meter Single Meter MIR,MI,�„o„rAMS a \ , � 7 -7-' NUM rotwnoN VALVES �, — _ ' �� aewrwt�r sawee mamacom ayews r auaasaeoireRarAws Typical Deduct Meter Typical Water Use Only Meter Mo SAMAR, *EWERMCNAMas o■owlastO MIR= AT=VALI= • A+. lMRARTINNER NO INANITIRY .Orriri= OSOCINAOGE TO BANTAM' RIM . 1 waoNa COMM VALVE . tt AYA711 VM.vfl ammo erserani. vvttls 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) 1 be installed : • used according to the above information. A . 1s �/ ...• y IP = igna of 0 er or Agent Print N e of Applicant and Company �MS,/nT "'LT _Sc_ P