HomeMy WebLinkAboutWater Meter - 10/26/2010 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 419_ /d
Meter(s) Installed At: B3 A A/ce0..romJ -
Name of Owner: e :".7 - 4079." 6ui0..4ori Ut ?i w oxen .
Address of Owner. noof AwsseY 5 atm e.0 /LP kdiaftt a•'t 41
Meter(s) Size:
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction , Typical Multi-Unit, Multiple Meter
Single Meter MIR ISC MTS7R VALVSS
U OUCINIONISTO
MW SWAM
111; .111 aA\ ww
�y . SAMITART same
vaunts
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MUM a SU OL VALVE
roao cornmestan
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Typical Deduct Meter Typical Water Use Only Meter
ND BANTAM M 1t21R 11101ATION VALYQ
WWI osouRat o.olWll tTO
ALLOWED aMfTART rrRM I
IMO aA1rTART
OM R OISCHARSE
CUICauwor To
SANITARY alINSR
l • auLaaa COMM VALVE
arIA ZINYAWS
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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 • • • led and used according to the above information.
/O
gnature of 0 u r or Agent Print Name o Applicant and Company