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HomeMy WebLinkAboutWater Meter - 04/21/2005 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date : 1 92' 7 / -0 5 • Meter(s) Installed At op f 75 - 0 'WV N ‘ Name of Owner: le us-µ . s"gz °`Pt» ir Address of Owner., 3 s D l A 114, y .2/ o41-g» l�- Meter(s) Size: ('" Meter(s) Use: Check the Use(s) that apply. • • Typical New Construction Typical Multi-Unit, Multiple Meter Single Meter awn NI AlaINVALVOS ONENNIESTO swarm isms • _ DsoAaaESD aosermw wan .•- - - urns al IMI= YAM - 111 - "7.; auIDNa eaataDL VAUre • ralaDaalCONTEOLVALVE Typical Deduct Meter Typical Water Use Only Meter • NO WA1OTAN, N EtlRMAIM VALVES SOWN DERNAINIE a■aIPAsaso • MANNED awQARr'NAVIN MO $AIRAar • =NW INICIMAGE ALtosED aa_owwam • amersar a.z. / • . • INESINaCCINTEOLVALVE . • a1LIAYO1 VALVES sums COMM 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 -1/2" require a bypass. Meter(s) will be '� •• led and used according to the above information. /f/ejav ©'i1 " /LL i,t' ff Si of Owner or Agent Print Name of Applicant and Company