HomeMy WebLinkAboutWater Meter - 09/06/2012 OSHKOSH WATER DISTRIBUTION
CITY OF OS
WATER METER PERMI T
(Please Print)
Date:
Io 10 IS Ca.C4,,,,a A h 5 f
Meter(s) Installed Ater SGS ro e
Name of Owner:
Address of Owner: to `° 4" ``4" s f
Meter(s) Size: l ' .
Meter(s)Use: Check the Use(s)that apply.
Typical New Construction ,Typical Multi-Unit,Multiple Meter
Single Meter �— NE��AT VALVES
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. �/ sAArrAU+r same
r�mama ISOLATION VALVES ...„.„,
sua coma.VALVE rtpMllecLVAWE
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Typical Deduct Meter Typical Water Use Only Meter
No mossy ay • rEt>R souTloll VALVES
SEWER ONICHAROZ CEICSIANSE TO 1 SIRVER=CRAM*
. • ALLOWED_
OSIONANGE TO
S AETARy SEMI
\«aa.Ia COMM VALVE
■ ISLAAYaN VALVES
■A`EwLauo cLIITAOL 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. Pi��`
Print Name of Applicant and Company 41 to•-7S-T
Signature of Owner or Agent 51