HomeMy WebLinkAboutWater Meter permit (01/23/13) CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: V23/13
Meter(s)Installed At: a. S 0..s2 1/1n/ q° -
Name of Owner: Ic- ".d OCA is Wes 5kopfzs LLS»
Address of Owner: ?-24°S-
Meter(s) Size:
Meter(s) Use: Check the Use(s) that apply. •
Typical New Construction / ,Typical Multi-Unit,Multiple Meter
Single Meter MIR ISOLATION VALVES
•
*N A
sANITlrA
ieY Ia W
woR
• +��—Nunn ISOLA1 NN VAW
wan coantca.vALV
rwawa COMM.YAM osowna TO
A • smarmy sawn
Typical Deduct Meter Typical Water Use Only Meter
NO SANITARY
11111R ISOLATION VALVES SWAM OaCNApi p TO
A&�
amaraar mast NO SANITARY
ORM E
ALLOWED
NETER
OISCHANGIE TO
SANITARY SEWER
• I
flies comm.VALVE .
set7at astaAc eo+4. m
Tim .n CLIMAX 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. 0 �t c
72,(- ?0-6:cik 6 °■ e.
()Signature of Owner or Agent Print Name of Applicant and Company