HomeMy WebLinkAboutWater meter - 02/14/2013 CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: 0,..)-//`1/2613
Meter(s) Installed At: 1 1 A .2..12-2-'\ CA u-e_ .
Name of Owner: C -
Address of Owner. t Z '' - -�► ' Q di. I _�■ ■ 51'1`1 I ti
Meter(s) Size: ?(`-i " .
Meter(s) Use: Check the Use(s)that apply.
Typical New Construction ,Typical Multi-Unit,Multiple Meter
Single Meter 10"1T10 I VALf E,
ONC AN011 TO
aoeNANaETo
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�„��-bran IGOI�T�1/VALVES �•}.
�`: coNneoLVALE Ar•tutau_C EINIOLVALE
Typical Deduct Meter Typical Water Use Only Meter
NO MONTA1e+► NITER MAT=VALET
MOWER INICNANCIE ONowNOETo
ALLOWED GANTANT NM= NO SAN/TAW
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name OEICIUNOE
i F07.4.00_10.
Rt OWOMNOETO
SOINTANT GIVER
E41 1 O �TNO.VALVE•
'-� .1T td<7 A I CN VALVES
IIIILDEME CLfTAOL 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.
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Signature of Owner or Agent Print Name of Applicant and Company
56S e qI o-5933