HomeMy WebLinkAbout2013-Water Meter Permit , ,�
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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date• ,� -� �9 p
Meter(s) Instalted At: �� �'�t� �
Name of Owner u�s�4G-� Cca,sr?/ ,
Address of Owner. tZ.� Ft,,r� S`T'
Meter(s) Size: �`y
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction � .Typical Multi-Unit, Multiple Meter
Single Meter �ro�w,�vKVo
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Typical Deduct Meter Typical Water Use Only Meter :
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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 ca11236-5052.
3. Meters> 1-1/2" require a bypass.
Meter(s) will be inst�lled and used according to the above information.
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igna e of Ovmer or Agent Print Name of Applicant and Company � T
�C� -s�'t� ��I�
CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
Date: . i 2z t1
Meter(s) Installed At: -R0 km-LT ST •
Name of Owner: Liairc4& tcurrT /
Address of Owner:, 1.7.X It
Meter(s) Size: 31
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction 7 Typical Multi-Unit, Multiple Meter
Single Meter NET81 CATION VALVES
•
D■CIUROtTO
NIP...—
aANRART Sawn
_ cescamaa
amorART SWAM
r--�'NEM mums VALVES •�.
SULDINCI=mit .VALVE
rMALMO eaNntOLVALVE
F
Typical Deduct Meter Typical Water Use Only Meter
NO aMfrART RIM!!IEOLAUCN VALVES
SEWER DaTOM1mE OISCWROETO
ALLOWED WI RART WEINER
NO SANITARY
sewer DooMROE
ALLOWED
DN ANag TO
sAN1rARr�
n lS CONTROL VALVE .
1[17'11.1Jagnitif
at 114
VALVES
=LOINS S lama L 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.
I / -Tgsz Al plc Cwrry
igna e of Owner or Agent Print Name of Applicant and Company ' s II Z