HomeMy WebLinkAboutWater Meter - 06/23/1999 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
/ (Please Print)
Date: b Jp2 3 - ,
Meter(s) Installed At: 11 3 ! Ku k✓A - • •
Name of Owner: bt 1 1* i-1
Address of Owner: / 9 3 4 M Qr liPe
Meter(s) Size: VI ``
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction . Typical Multi -Unit, Multiple Meter
Single Meter MEM ISOLATION VMyp
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11ETER ISOLATION VALVE �.
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Typical Deduct Meter Typical Water Use Only Meter
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SEWERDOMAN= DI ODeNNO[TO Nareta�OLATIOILVAWes .
ALLOWED ART OMER
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ALLOWED
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SANITARY SEWER
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11 '
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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.
Me r(s will be installed and used according to the above information.
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3 f�- sl►'ltk 1S ft./ � � 7 D/41.c _
Signature of Owner or Agent Print Name of Applicant and Company