HomeMy WebLinkAboutWater Meter - 05/22/2003 (deduct) CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
"
Date: 122 63
Kt,Et.c.�2.
Meter(s) Installed At : 1 `i C) S • k ., L1 S •
Name of Owner: t HO P " .. Is f+D.. NAB PAI1 rit
Address of Owner: . 14 Utz S . \Z o L k e r S t
Meter(s) Size: , l'' Sim D6vcr
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction , Typical Multi-Unit, Multiple Meter
Single Meter NI'r0r SSap1I VALUES
ONCHNKNITh
• as• OWNER
\•...... omoLa_ETo
4 ,■ $AL/MRY =vet
.-err n uo AnonvALVES � ,1.
~� OULaaro COrrr1{OL TAM •IIIMISIq e0lrnnLVALVE
• Typical Deduct Meter X Typical Water Use Only Meter
NO SANITARY _ _
SIEW01 ONNOMJIME ONCINANGE TO ' MUM UCIA1 orrvAwa
ALLOW= SAISTARY Man MO iMarARY
ALLOWED
TO
7 . • , NYLONS CONINOL VALVE .
- --serren latuv M VALVES
OULDNO GNrrl . 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( 11 installed and used according to the above I2 � information.
A LP 14 Lc c
Signature of Owner or Agent Print Name of Applicant and Company