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HomeMy WebLinkAboutWater Meter - 06/25/2002 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: t r . - 7 1S-7-1) Meter(s) Installed At: /3 7v /44 pg F 4 44/ 4 1) Sr . Name of Owner: fps. / '1' / . Address of Owner: six "" Meter(s) Size: 3 / 4 i '' Meter(s) Use: Check the Use(s) that apply. Typical New Construction 1 , Typical Multi-Unit, Multiple Meter Single Meter ,� ISOLATION YAWNS WITH V SEWER �____ weraEw :"*.\... asowwETo s_ 'mama comma. 41 ,../ sammarr gavot ' r auEauaeawrna�rALrE Typical Deduct Meter Typical Water Use Only Meter No SANITARY ____ oaow�oa a■o ro sETER MIAMI VAIN= . ALLOWED L1111.4..""."1"11. WUTh r MON w*NT„R„ -.� IMO NO w� OISCIOJONI TO IMATTART MOM VALVE . ` 1tTE!! aim N VALVp a1S'El'3 ctsfr*7t 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( ) wil be installed and used according to the above information. / LIL_ , 0 ,. 1 S of Owner or Agent Print Name of Applicant and Company