HomeMy WebLinkAboutWater Meter - 06/26/2001 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
` (Please Print)
Date: — 6
Meter(s) Installed At: /y `,''` G k' 74111
Name of Owner: p1 / T2 t /
Address of Owner: /X i f 2- f) . c ; 7 a")
Meter(s) Size: 3� `/'
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction ✓ Typical Multi-Unit, Multiple Meter
Single Meter MIS MISLAY= VAWSa
SIEMAINIE TO
SANITARY aswa 111...\
1"'1:2M:171 olnowNlETo
.00-- noun= VALVES
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A .-mom minROLVAwE
Typical Deduct Meter Typical Water Use Only Meter
NO wrTANr METER NOLO= VALVES
SEWER OSCRARai eseau Sa TO
ALLOWS) W11TART SER N ND s arrAR1'
0111124ARCE TO
. iAMiARY slWEII
l =LOW CONTROL VALVE .
V METER MOUTON VALVES _
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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. eters > 1 -1/2" require a bypass.
Meter(s) '11 b installed and used according to the above information. k..._ ( e_/4-5,fr, I-45S E - Al et, 7,-,6_
Signature of Owner or Agent Print Name of Applicant and Company