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HomeMy WebLinkAboutWater Meter Permit - 08/29/2012 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: SIp7 q I (a Meter(s) Installed At: y ••.. •♦ P. ► ' Name of Owner: Pc ►n Address of Owner: /'//O /f,f ., c, Meter(s) Size: II Meter(s) Use: Check the Use(s) tha apply. Typical New Construction .Typical Multi-Unit, Multiple Meter Single Meter ISOLATION VALVES �M�ETO �•� SANITARY SEWER � _ • OVasmawoETfl .— arrnt I$C ATIow VALVES M. A - smarmy arms Ni......,,.._WU.DS=cannot.VALVE aeMOC:ISMOLVALE . Typical Deduct Meter Typical Water Use Only Meter WO SANITARY MITER ISOLATION VALVES mammas o■O+ E ALLOWED wermer EMIR! ND amirraav SOWN DISCHAINNE w : ONCIIARCIE TO SANITARY EWER KILOS=CINI ROL VALVE . i LlE7 lssc3.AICNvALVO `1NiDM0 Ct1MT.\].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. 11141f S DO . IV) c 4gz S : .f Owner or Agent Print Name of Applicant and Co any