HomeMy WebLinkAboutWater Meter - 09/07/2012 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 0°I /pi %2D1
Meter(s) Installed At: D.- -00 B ao ( -t) ( 1Q5EtLE12 °'-05H KOS I-4 P„rr 2Utkr`1D 6-(3 T
Name of Owner: 1--k LA--c jO P 6-E-L e 02.0)6, -I-al-1015
Address of Owner:
Meter(s) Size: 3. 111
Meter(s) Use: Check the Use(s)that apply.
Typical New Construction Typical Multi-Unit,Multiple Meter
Single Meter NEM ISOLATION YAWNS
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Typical Deduct Meter Typical Water Use Only Meter
NCI SAMTARY • MITER YOLATOI VALVE$
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ALWWW SANITARY WNW 1
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ALLOWED
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EAMITARY SEWER
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111171R 111110.M ON 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. Meters> 1-1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company
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