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CITY OF OSHKOSH W ÄTER DISTRIBUtION
WATER METER PERMIT
(please Print)
Date: f/2'3/~
Meter(s) Installed At: ,'Z'(ð He.J~
Name of Owner: V....4r k H,..1\P5.
Address of Owner: 'P,o, w""f '1z:"J
Meter(s) Size: ?/yc'"
Meter(s) Use: Check the Use(s) that apply.
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Typical New ConstrUCtion
Single Meter r
. Typical Multi-Unit, Multiple Meter -
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Typical Water Use Only Meter
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Typical Deduct Meter
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Note: 1. A Plumbing Permit may be required prior tò 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 insta:Iled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant d Company