HomeMy WebLinkAboutWater Meter - 10/28/2010 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 10 ' cf - 10
Meter(s) Installed At:, 5-3 1 tt , 9th e
Name of Owner: ' l . �tDn9 Lkr`t
Address of Owner: a f 3 I tom': `rV 3
Meter(s) Size:
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi -Unit, Multiple Meter
Single Meter MI R ISOLATION VALVES
OIEOLAROE TO
UPSTART SEWER
oiscaumat
•� AFTER imams vaunts
SMfTARY sSWEJR
wNLDEIG =MTROL VALVE
SULOL+o =TM=VALVE
Typical Deduct Meter Typical Water Use Only Meter
NO SANTARY 1IETLIt a0LAT N VALYES
SEWERCaaMRSE O�MROETO
M DWID SANITARY SEWER 1
MO SMUTARY
SEW ER P TO
ALLOWED
SANITARY SEWER
1 Ws watLOno CoNarIRaL VALVE .
teaTElt tsR x�ti VALVES
SINZMINO CLMFAOL 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.
ignature of Owner or Agent Print Name of Applicant and Company
sLkr+ 1QX ti'1Q—>'' r .5 S
3W 11 rl i r3 rrjm (11 -k) c °4. Ey