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CITY OF OSHKOSH W ÁTER DiŠTRIBútIÖN
WATER METER PERMIT
(please Prillt)
Date: ~/?41.,s"'"
Meter(s) Installed At: ?.J3R -:7:"5A1¿ <:!.
Name of Owner: r;,A~ v j)èt:!K~~
Address of Owner: ç /.J «?~-.€.".,./ .r:;-'
Meter(s) Size: .~ - '
Meter(s) Use: Check t e Use(s) that apply.
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Typical Ne,W ConstruCtion x:
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: 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 hgme
owner may perform hislher own plumbing within their single family, owner occupied
home. For inquiries please call236-5052.
3. Meters ~ 1-1/2" require a bypass.
Meter(s) wil1 be instlrlled and used according to the above information.
, n
Print Name of Applicant and Company