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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
Date: C:Z---;)-Cf9
Meter(s) Installed At:
Name of Owner:
Address of Owner:
Meter(s) Size: :3/i/
Meter(s) Use: Check the Use{s) that apply.
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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 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 performlús/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters? 1-112" require a bypass.
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Print Name of Applicant and Company
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