HomeMy WebLinkAboutWater Meter - 05/06/2002 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: r-e 42
Meter(s) Installed At: — 3 I 5- 144 S e 2. •
Name of Owner: Cr'..rvi ')C
Address of Owner: _SAMW
Meter(s) Size: 3 /Yf •
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction • Typical Multi -Unit, Multiple Meter
Single Meter NITER ISOUITONVALVES
OErow T SILVAN R
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.---- IscaN1INVALVIS moon= le
A / WARrraR4 same
IM MO cannot. VALVE
ELILDWO CONTROL VALVE
Typical Deduct Meter x Typical Water Use Only Meter
RO SANITARY
* D Q Natet RO.A710R VALE=
seweR OSOtaRaa otsrsaROato
AtLOwED asarrAR► SEWER
+ oSANITARY
SEWER MANGE
ALLOWED
TO
smarmy' same
_, . 1
• M RLO NG CONTROL VALVE .
i 1tETlR {C[AYiON vKVls
siILDENI CC'lfr,NL 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 installed and used according to the above information.
Ze&i, .a2 P1 I
Sign tune of Owner or Agent Print Name of Applicant and C &mpany