HomeMy WebLinkAboutWater Meter Permit CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: a"6-Z
Meter(s) Installed At: 2O cqo '777% �/�.e.A0#
Name of Owner: /91/.Eit/uE /.eie7/ESA_Z 2
Address of Owner: -31. 771 .71-WC,k/ion/ 47
Meter(s) Size: -EA "
Meter(s) Use: Check the Use(s)that apply.
Typical New Construction Typical Multi-Unit, Multiple Meter
Single Meter o'G� NITER
M NAR?S
aANerAeerareot
�� oISVeA�ot To
�—�eaT.TtJe te;OLATeON YAMS ,.,.
sANfTARY awat
teM.ou ONT
a canna-VALVE w
raueoaeaeeROLVALVE
Typical Deduct Meter Typical Water Use Only Meter
NO aANTARV
SEWON Ooo4ANDI oISOewee�t TO ME ISD«T�I VALVES
ALLOWED SWUM SEIM
NO warmer
F= SEWER OUNNIANCIE
ALLOWED
PTO
VALVE
NEilR ISOLATION VALI
w*OMO 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.
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Signature of Owner or Agent Print Name of A•• icant and Company
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