HomeMy WebLinkAboutWater Meter - 10/21/2010 •
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: / /°
Meter(s) Installed At: / i� fo4 J 5
Name of Owner. 144:,A1
Address of Owner: t 1 /4 14/3a.• -►� l� i ,o'
Meter(s) Size: 3'i
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter __ NITERIMAMS VALVES
0111104411011 TO
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WING CONTROL VALVE
rslldaa10 COMM VALVE
Typical Deduct Meter Typical Water Use Only Meter
NO SANITARY Yerae 11101ArIOR VALVES
MINIM OSMAN= o.owmsTO •
ALLdwm SANITARY IMAM
+ NO 'warmer
s wat OIaOMRQE
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SANITARY MAR
.1117W5711,.
• MILO = COtQ a VALVE .
1111ER aU MCN VALVED
suaa/a =sorsa. 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 and used according to the above information.
Signature of Owner or Agent Print Name of Applicant and Company
qao- -73 -$ia -
w, 4 (rs ?lb
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