HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 1/41/X'
Meter(s)Installed At:, PQC v f •
Name of Owner: W r
Address of Owner .3555 f 1oSer SF ketch _kil�
Meter(s) Size: . One rt CA
Meter(s)Use: Check the Use(s)that apply. •
Typical New Construction Typical Multi-Unit,Multiple Meter
Single Meter NM=WOW=VANIO
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ONICHAINNE TO
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INALDINCI=saw=L VALVE
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Typical Deduct Meter Typical Water Use Only Meter
NO SAAITARV YOUR MATINS VAL=•
SOWER OSSCNANCII _S_W1OETO l
ALLOWED $M,TARV S'llltet
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Low
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METER E-001
OINCINNOE TO •
• aNITART same
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• ILNLOING COWPDX VALVE .
'tl[JEJt SiCIA1atl VALVES
IM MO COMM MVO
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.
,2�� J C h(l s d It -A"Ertl, 114 101. d/
ignature of Owner or Agent Print Name of Applicant and Company
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