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CITY OF OSHKOSH W ÄTER DIšTRIBUTION
WATER METER PERMIT
(please Prillt)
. Date: /dl-I/-¿J.::)'"
Meter(s) InstalIed At: /¿?À-/w. ",2¿;>7701- At,I~-.
Name of Owner: ,...;7/AI) ~ ,/Je7)t!.. f)~/~û;U'~r
Address of Owner: -
Meter(s) Size: .1/:/
Meter(s) 'Use: Check the Use(s) that apply.
Typical New ConstruCtion X
Single Meter ,
. Typical MlÙti-Unit, MlÙtiple Meter -
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Typical Deduct Meter
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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 hQme
owner may perform hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters;::, 1-112" require a bypass.
Meter(s) will be instldled and used according to the above information.
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Print Name of Applicant and Company