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HomeMy WebLinkAboutWater Meter - 07/15/2013 CITY OF OSHKOSH WATER DISTRIBUTION WATER METER PERMIT : (Please Print) � Date: / ^/ ��-� � , Meter(s) Installed At:,�`�J � ��� � <Q �--`� �` Name of Owner: � • � � f r'�-�� Address of Owner: L� � � '` � �— � �� �' �� S�'j�/� Meter(s) Size• � � Meter(s) Use: Check the Use(s) that apply. � Typical New Construction j�_ .Typical Multi-Unit,Multiple Meter Single Meter -� ,�aou►noMVKVa . � � +—. o�ow�a�ro � ��aiurriuer a:rrot � � �� f ��� 4�I�il7t LSOt�T10M VKVO ��1q CDMTROL VALK ' . ra�war�rr�v�v[ : Typical Deduct Meter Typical Water Use Only Meter Mo�+rr�nr �rea soutsar v,�res aewoe aaowea� o■r�M+�a[to . . �utrw� s�rrrwer�swee � w a�urrwer - aew�c�a� �un+rEn w ' �To • wariuer strreu � • ' ��auo co�eneo�vKVE . `�—�ear�mtutia v�ivts ��i�NO Q7Rf.l�L VKVE 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 be i taclled and used according to the abo information. : �c� , ' ��i� .w� r�yr �.u�,�;`�=� ,� � Signa e of Owner or Agent Print Name of Applicant and Company /��"���.�S�