HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: i 0-51
Meter(s)Installed At: I 7 t/- v •
Name of Owner: C LacA tkv-vgivka..4,
Address of Owner. 3"S G C- Qw(c,v 1B 0-4
Meter(s) Size: . 3/Lf
Meter(s) Use: Check the Use(s)that apply.
Typical New Construction ,Typical Multi-Unit,Multiple Meter
Single Meter ,�N„L,L,t N VALI=
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Typical Deduct Meter Typical Water Use Only Meter
No SANITARY
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ALLOWED aANRANT MIEN
MD UNWARY
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ML?FR ��f DISOINNIE ALLOWED
R INIENAncul I TO• &NATANT SEWER
111M.--. s \r
a/IV CONINOL VALVE .
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WILM A coma.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.
Signature of Owner or A nt Print Name of Applicant and Company
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