HomeMy WebLinkAboutWater Meter - 12/29/2003 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: hZ —o• -Z23 •
Meter(s) Installed At: a 940 Silblz` PEE S> t. b2 '
Name of Owner: aciiSSic Hams of A- PPLETDiNr IT (c
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Address of Owner: _ o2 5 o S " narEnft AO M terb4) wesc-- SY 9' V
Meter(s) Size: qi •
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter EMIR MEOLAIIOM VALVES •
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.-- - ma MAIM VALVES �/ EAMMrAMerSwoM
■ ILDPIa CaMMROL VALVE
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Typical Deduct Meter Typical Water Use Only Meter
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SWIM DEONAN OE A•Dw1OtTO
ALLOW/ED aAMfAnr 1
MoaAArrAAY
DOCNANOt TO
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l .Y.a.IQ CONTROL VALVE .
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SULDENS CL•MrAIE. 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 an. • according to the above information.
Signature of Owner gent Print Name of Applicant and Com • - y