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CITY OF OSHKOSH W ÁTER JliĊ TRJBU'TION
WATER METER PERMIT
(PIe8se friDt)
. Date:- p.o.ór -
Met~r{5)løstalledAt: ;n'J:"o r,i,i ,lid / /,¡{,t' ~I '
NameofOWller: .r:;,,¡{. ¡, < í'.",oJJ"/"~j,.þ ~
AddressofOMler. ~(/ /l'<:./ r;;( 1Z o.r¡{/ur7 rIJl'9.//
Meter{s) Size: :1/\ '/ ' " -
Meter{s) Use: Check tbe Use(s) that apply. -
Typical New eonstrødiOD
Single Meter
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, Typical Multi.Unit, Multiple Meter -
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Typical Deduct Meter
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Typical Water Use Only Meter
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Note: - i. A Plumbing Pennit 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 hQD1e
owner ~ perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2:. 1,lfl" require Ii bypass. '
¡nsnrlled and used according to the above information.
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Print Name of Appli~t and Company