HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
J (Please Print)
Date: C 7 r Z ' /�
Meter(s) Installed At: Ll LI.(/ 5'00----/ ep ink -
Name of Owner: La h r-Yn �,. A Gi; .-e-Io W
Address of Owner: V I/ G 5' O e--)-07 /0 0, ti/ -
Meter(s) Size: -/A/
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction ,Typical Multi-Unit,Multiple Meter
Single Meter SIOLAVICW VALVES
MI
TO
— aAnrrARr SErroL ■ a<
rROL.VALVE
rSIMMS CCOMEX.VA VE
Typical Deduct Meter Typical Water Use Only Meter
NO SANITARY
swot MOW= atONANSE TO MErSr ISOLATION VALVES -
AMOR= sa rrAwraswat
Li METER f■Illog w MAMMY
SEINER DISIMANGE
ALLOWED
PTO
SANITARY SEWER
.1111117W-14.U.
1 SL{tOrta CONTROL VALVE .
`—tIITER MUM"AM VALVES
`...........`
IM MO Ct:.7n lz 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.
f / ILI 414/ 11 i 414"1116
A 1 i SC. 11'i h i) 1A€7 Y fi j .
Signature of bwner • 'Agent Print Name of Applicant and Company cIaNp - .?-- 7 9 - A(5 ,l
1,3". CI 4Z-ary vital. t-K. pr fr 3-0 0- 711- 9