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CITY OF OSHKOSH W ÁTER DiSTRIBUTiON
WATER METER PERMIT
(please Print)
Date:9/ Z. 3/DS"
Meter(s) Installed At: I Z '7ð
Name of Owner: r¿ "'~ ;6)(
Address of Owner: "," .
Meter(s) Size: ~/L¡ I(
Meter(s) Use: Check the Use(s) that apply.
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Typical Ne.w ConstrUCtion y.
Single Meter ~
. 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:. 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 insta11ed and used according to the above information.
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