HomeMy WebLinkAboutWater Meter - 04/15/2003 • CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: i '"7. i 5 — C ) �
Meter(s) Installed At: 3 (' ( (OC k KvL. 1D d' C+ E 0A-c- .
Name of Owner: \t wu : e f q Ni
Address of Owner. _ ) re U 14e (,.r r K) 'tbs. ti
Meter(s) Size: V
Meter(s) Use: Chec the Use(s) that apply.
Typical New Construction . Typical Multi -Unit, Multiple Meter
Single Meter U A„t�V„„U
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. / 0111040.11111 TO
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smarmy �_ ■IIaMNO CON TROL VALVE
•11StOI1O COMM VALVE
Typical Deduct Meter Typical Water Use Only Meter
NO SANITARY
:wen c nowat ONDIMI10STO MEMISO AfloNNVALVes .
Y
ALL SANITARY IS1Npt
OMR 011104A/104
ALLOWED
TO
SANITARY
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/ . 1111;1211•11 COMM VALVE .
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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. Meters > 1-1/2” require a bypass.
Meter(s) will be installed and used according to the above information.
Signature of Owner or Agent Print Name of Applicant and o mpany