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HomeMy WebLinkAboutWater Meter Permit (03/11/13) CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT (Please Print) Date: VI.VI 3 Meter(s) Installed At: I£5 I u ,ac It- ...... S+-.K 4 Name of Owner: 1400 .jc k io- L-L"c Address of Owner. 220 O k l t, 54-.e--l- Meter(s) Size: . Meter(s)Use: Check the Use(s)that apply. Typical New Construction / .Typical Multi-Unit,Multiple Meter Single Meter V MEE ISOLATION VALVES SNOW=TO SAIETANY SEWER f . NE....— OsowTOETO mum= �/ aATarAAn smut IEOLATTON VALVU .a 11. ~�mamma COWELLVALVE rE�O/IaeONnTOT.VAWE Typical Deduct Meter Typical Water Use Only Meter NO SANITARY NETER NOLAININ VALVES SEWER OaCILWIDE ODONANGETO ALLOWED iNf►ARV MAN Na SAINTAAY SEMEN . ALtONm ;• F ONENAN E TO SAISTAN►SEWER INALOElo CONTROL VALVE =—�—tieaTfle Et utiroN VALVES SULOSNa 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( will be installed and used according to the above information. _ "� ! + may , f �—� f Grr c K 0 N e l l( n't P�'S�,, �rtr- `i Signature of Owner or Agent Print Name of Applicant and Company