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CITY OF OSHKOSH VI ÄTER DIŠTRIBUTION
WATER METER PERMIT
(please Print)
Date: er/z.. ~/D '!:
Meter(s) Installed At: 12.60 He~:- fJcxv~ '" Drt
,NameofOwner: 12¡,..'Jic.k Ho,.,~
Address of Owner: rob. BE..c Il 'Z.:1 0""1"', ,.~
Meter(s) Size: ""}/~6( . .
Meter(s) Use: Check the Use(s) that apply.
5'19' " "3 - O'-i~'3
Typical Ne.w Construction 't"
Single Meter
, Typical Multi-Unit, Multiple Meter -
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-'10
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Typical Deduct Meter
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Typical Water Use Only Meter
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-'10
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-'10
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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 hQme
owner may perform hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-112" require a bypass.
~ will bo _lod "" ~d -- 00 ... """'" """""""". .
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Signature of Owner or Agent Print Name of Applican and Company