HomeMy WebLinkAboutWater Meter - 11/29/2002 CITY OF WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:
Meter(s) Installed At 3 s �. S ,r -a - y
Name of Owner: s= `5 to 1" L • r , 61 5 .5 Cdic662
Address of Owner: 5 -
Meter(s) Size : 3 /
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi -Unit, Multiple Meter
Single Meter — ,EM =LAME VALVES
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or= nixamom waves
7 IM MO CONTROL VALVE
• r aTSSaaTa CONTROL VALVE ciansuisa TO
Typical Deduct Meter Typical Water Use Only Meter
NO as mui r
SEWER O SOYIROE OIDEKAWEETO NETaTanuTTONVaLres
ALLOWED saaraar aLwee I
+ No a+wraar
SEWER DISCHAWIE
ALLOWED
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LYLOWO coma VALVE .
TER TLi J.Yp/ VALVas
IMELOWS Cocoa. 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) . - be installed . • used according to the above information.
S ature of Owner or Agent Print Name of Applicant and ompany