HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date:09ta/2..Oi2
Meter(s) Installed At: 23'1 g -
Name of Owner: n
Address of Owner: 43 t I IV L O A �Q� -r'' 51-t 13-47 3G.
Meter(s) Size: 3/y "
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit,Multiple Meter
Single Meter MITER NIENATTON IMAM
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ONOMRO 831
SANITARY stwoT
SAWN!?SEWN
� nTEOUROETo
r'---''NITER ISOLATION VALVE!
SYLMO CONTROL VALVE
�iaLSiO�IO CONTROLVALVE
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Typical Deduct Meter Typical Water Use Only Meter
NO aAIfTART NITER alCIATOI VALK,
SOWER OIiCIMROE ONDMRGIE
ALLOW= $AMTTANT UNME R I
+ NO iA1fTART
E
ALLOWED
PTO
iA/tTAR►S ME1!
any. 1
fIRONSO CONTROL VALVE .
1 TER ISt:3A114014 VMVU
SLiaNO CLYITAX.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.
S--/„."44, 5-gf/64.0,47,-tee
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Signature of Owner or Agent Print Name of Applicant and Company