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HomeMy WebLinkAboutWater Meter - 07/23/2012 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Dater° 1- ( 2 /'/Z� Meter(s) Installed A • / g 2 / - A G S p Ac/ . . Name of Owner: OW-A- A 4.- • )t& . Address of Owner. _ S/A vv. F - Meter(s) Size: 3 , Meter(s) Use: Check the Uses) that apply. Typical New Construction ( .Typical Multi-Unit,Multiple Meter Single Meter ` �- VIM ISOLATION VALVES INICNAROS TO \aANr rARr a:wol . .•• ..wren ISCIAnoN VALea mamas cornea.VALVE , 1. .alas1311lo CONTROL VALVE a/ sA1lTAIY UE to E Typical Deduct Meter Typical Water Use Only Meter NO SA/lTARY MOM ISOLATION VALVIS SEWN OoawloE 0111014ARE TO ALLOWED SANITARY IMA M 1 NO SANITARY 'arm! inscamae TO SANITARY swot s I3. • SuSLOI10 GONTNOL VALVE . ------- 11ET IiIIM411 VALVES IIM.Dail corms.wive 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 ho. -. F.r inquiries please call 236-5052. 3. eters 1-1/2" require a b pass. Meter ) will b- dam.d according to the abov- ' • •rmation. _ ._e 110,Ar ,sec.. \ Signature of Owner or Agent Print Name of Applicant and Company