HomeMy WebLinkAboutWater Meter - 09/04/2012 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Dater e Z
Meter(s) Installed t: () 2 0 ,A L.- / 0
Name of Owner: i•v 'L Sit
Address of Owner. 'I"• E . _ '' - , 0 •{t'
Meter(s) Size: . 7
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Meter(s) Use: Check the Use(s) that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter MI ERNOMt=vALVSs
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IN ONICNANDO TO
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Typical Deduct Meter Typical Water Use Only Meter
NIO 5AMITARY harm NOLATIOtN VALVES
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No SANITARY
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St.mO CONTRA vALVE
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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. ete . > 1-1/2" require a bypass.
Met-. (s) will b= i ed according to the above information.
Signature of Owner or Agent Print Name of Applicant and Company