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HomeMy WebLinkAboutWater Meter - 02/12/1999CITY OF OSHKOSH WATER DISTRIBUTION Date: WATER METER PERMIT (Please Print) Meter(s) Installed At: gDb &A v Name of Owner: Lem Address of Owner: S E e-1 Meter(s) Size: ' !& Meter(s) Use: Check the Use(s) that apply. Typical New Construction Single Meter DISCHARGE TO .� SAWA" 3V*1 ! ILT> R ISOLATION VALYEE WLOm CONTROL VALVE Typical Multi -Unit, Multiple Meter MffrM g0{ATM VALVES W LCS10 CONTHAX VALVE DifCJw= TO I ` ZWTARY 5XIME11 Typical Deduct Meter NO SAM MY SEWER DISCHARGE ALLDYM Typical Water Use Only Meter NUER ISOLATION vAUM NO SAM MY sr*Wt 13MCKUM ALLOWM CISCHARGE TD SAMTTARY SEWER HMLDSiq CONTROL VALVE DISCHARGE TO SAM MY SEWIM - SKM ISOLATIOM VALVES SILCSM CONTROL 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. mb r e- 0 P.'rn L Signature of Owner or Agent Print Name of Applicant and Company