HomeMy WebLinkAbout2004- Water Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date. � d
y .
At: LUA€ s/ t Sc � //c A). f
Meters) Installed At. L
Name of Owner: _' ' S C';, Sc _ 5 S7 - A
Address of Owner. c3 / / 0 i - Sr4cvy.P / S . - OS{.{(F f &a.
Meter(s) Size: .
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction . Typical Multi-Unit, Multiple Meter
Single Meter VMS NOLATION WINO
ONICMNORTO
NATANT MAR .
� asawraETo
f""171.11411. -. A / sMmre m sum
�— main Nou►i� WM= r
"_ muaosa eown ace. Van • - raysamaeomaaaLvswE
Typical Deduct Meter , Typical Water Use Only Meter
NO SWUM NOIR IICIA1O WINOS
U •
PTO
tiP ' swum maw
=WM ONICOMINNE
PA S c� 1 3.. • •
V �, ....1.O/ VALVSm
e mums Ra tines. WAVE .
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 acco ding to the above information. Jimes ie. &eke.
S' tore of Owner or Agent Print Name of Applicant and Company
•