HomeMy WebLinkAboutWater Meter - 11/18/2003 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: I 1 41 "
Meter(s) Installed At: l D3 m►
Name of Owner: A Ae �-� AC ^
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Address of Owner:
Meter(s) Size:
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Meter(s) Use: Check the Use(s) that apply. •
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Typical New Construction u Typical Multi -Unit, Multiple Meter
Single Meter / ` IEM ISOLATION WUro
ONCIONOR TO
111 1 " .. \ .... To
SANITARY ISM
SMITIARY tam
=LONG CONTROL VALVE
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Typical Deduct Meter Typical Water Use Only Meter •
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MR= Oaowloa a_w o
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ALLOW= SANITARY S Molt I NO SANITARY
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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 installed and used according to the above information.
" (B. _ kgreak er 46-0,ses- .lOVN Gr I.
Signature of Owner or Agent Print Name of Applicant and ampany