HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Dater ' 13-e 1
Meter(s) Installed At: I 'S1 A) 6'1)- •i't1 n
Name of Owner: ?au I S rn i 1-11
Address of Owner: PA ;v K I , I3 Vtl1lt1n LbL.co , LUG Cgy Ss5
Meter(s) Size: -3/44
Meter(s) Use: Check the Use(s)that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter METER ISOLATION VALVE
croMRO[TO
....„..IMITARY SEMI
77111.
./ EANRARY sawn
on ISOLATION VALVE _j 1 NAMO comas&VALVE
.�WOO CONTINE.VALVE
Typical Deduct Meter Typical Water Use Only Meter )C
No SANITARY NETER NOW=VALVE
SEWN O MOE 01110011011 TO
ALLOWED SANITARV!ERIN f
NO swum
Po cm= ono 0. limn onicionaa
SANITARY sawn
7 mums comm.VALVE
----11ETEE EiOLATSIS VALVE
SIaApS CONTROL 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 Ow er or Agent Print Name of
1/Li din&
Applicant and Company