HomeMy WebLinkAboutWater Meter - 04/21/2005 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Pleue Print)
Date: a
Meter(s) Installed At: 07 `? '?' m I w v R' i =
Name of Owner
Address of Owner: _ - AA 02/
Meter(s) Size: r "
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter ]4 NOM rraouIonvA
sowroaIO
asourrosTo
.--- � mane rou*enve WI r a�
41 /" . " arwrArrr EOM woo earrnacminn
rwtia.raearnnor.veurc
Typical Deduct Meter Typical Water Use Only Meter
NofY1INIO dine MAT
swore osorMati a■o Ta •
NAMED 1 NO INIONAV
IMMO ONONINNNE
ALLOWED
ONIONNION
Air MON
*U•______ VALVE .
' qii.. " - '"""•••"111TEN flra►Yau VAwo
WS inet 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 -12" require a bypass.
Meter(s) will be • • led and used according to the above information.
.r .�• of Own or Age Print Name of Applicant and Company