HomeMy WebLinkAbout2013-Water Meter CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print) �
Date: � 2(� �� �
Meter(s) Installed At: �� Z �
Name of Owner• � .
Address of Owner: �b �X��y �
Meter(s) Size: 3'.` .
Meter(s) Use: Check the Use(s) that apply. �
Typical New Construction ` ,Typical Multi-Unit,Multiple Meter .
Single Meter .�c�a�►*+���
� � :
o.ow�o:TO �
��a+urraer s�woi '
�� oec,u�c to
� �/ s�wrriue,r stwc�t
..�-��flt not�noM vKVa
�`�u..o.�o�v�wc
. raaouacour�a.v�vc
Typical Deduct Meter Typical Water Use Only Meter
Mo s�+irr�uQr . �t�soun�vKro .
swoe oaoww� osow+�os ro
� ��.� j
���
��
. �
y .
����
' fA/fTARt.KwQ
�
� ��YILO�q G�QfRa VKVE ..
`�1lETER IiC':SRYON VALVO -
��YLaMO C�llffi!]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 ca11236-5052.
3. Meters> 1-1/2" require a bypass.
Meter s e led and used according to the above information.
� Cr 2(oZ ' S�`7- 2�-7�
Signature o er or Agent Print Name of Applicant and Company