HomeMy WebLinkAboutWater Meter - 06/29/2011 •
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print) •
Date: b / 2 7/ //
Meter(s) Installed At: /d eo - 0-ei' ' 5f •
Name of Owner: )t-4 s �r1
Address of Owner: _ f s m.-% e
Meter(s) Size: �/d •
Meter(s) Use: Check the Use(s) that apply. -
Typical New Construction Typical Multi -Unit, Multiple Meter
Single Meter WIBI ISOLATION VAUM
011104ANSS TO
.• SANITARY NMI
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— �� awns s1WLA I=VALVES -, .
MORO COMM VALVE
dir ..E1aaa CONTROL VALVE
•
Typical Deduct Meter Typical Water Use Only Meter
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MEET DISCHA wE o.dlwlosTO •
ALLOWED ENETAIW EIDVER
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SEWER ANNIE
ALLOWED
•
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DISCRANCIE TO
SAIfMY SEWER
• 'MALMO COMM VALVE .
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SIIILDINS CL'IITA]L VALME
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 Company
P otval- R.-S4