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HomeMy WebLinkAboutWater Meter - 03/18/2004 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: 3/, e/ Meter(s) Installed At: 3 a 15 5 ■••■Qr-c_ b ` '^A ©5 c"-k Name of Owner. C t• �r �- - a er w s 4 r Or I o Address of Owner. of ?'AO ; l c 1A. O s'►.V.o c I■ ()) t- •S`l4 Dt Meter(s) Size: . Meter(s) Use: Check the Use(s) that apply. • Typical New Construction , Typical Multi-Unit, Multiple Meter Single Meter �( 111101A*+ON VANS • oeowlOEto aAMrAN,r • ` o■ouNOEto ds / &ANtraNv aawet .•� - 1 = M IAMIVALVES ' t'- 111111.0110 CONTROL VALVE • rOaoatamnta.VAINE Typical Deduct Meter Typical Water Use Only Meter No SANITARY MIME MdAtOIVMLtfEa • WAN 01110441111111 01•1211A11011 TO 1 ALLOW= ausaur4fawet Moaal rARr =Wet 01111124411411 Iffn ALLat1® j' _ TO • 1 TARt' / • 0•Mi mNta_L VALVE - MMW= VALVO • 1111101111111CfMrAIL 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. Mete will be installed and used according to the above ( information. (� .. .� Q C O . t. Signature of Owner or Agent Print Name of Applicant and Company •