HomeMy WebLinkAboutWater Meter - 03/18/2004 •
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CITY OF OSHKOSH WATER DISTRIBITTION
WATER METER PERMIT
r (Please Print)
Date:-) � d - may
Meter(s) Installed At: Fr S — - Y -e. ,13 q'
Name of Owner A a of s 4 /74
p 5
Address of Owner. 3 6_5 5 rc r/i e ‘
Meter(s) Size: . J'
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction , Typical Multi-Unit, Multiple Meter
Single Meter ) NITER I NATION NOS
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NI
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oeowssc*o
WANIMRT MVO
m ann MOLAMI VALVES
•� IMMO CONTROL VALVE
• A ...MUM COMM VALVE
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Typical Deduct Meter Typical Water Use Only Meter
NO aANRASIV
SEW c v i OIEOMINNE70 NEfER INoLAIONYALVOS •
/W M= SOIiRANT OMR f
SNINTARY
ALLOWED
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INNIONANO. TO
assaraar sawn
aVLO•IaCONINOLVALVE .
11E• IBiA CNI VAWs
manes Comm. VAWs
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.
Mete will be ' led and used according to the above information. Hansen Plumbing, Inc.
N 1044 Tower View Dr.
�j /I; � SPi7 Greenville, WI 54942
Signature of Owner or Agent Pri�ame of Applicant and Company
N_1044
Hansen In