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CITY OF OSHKOSH W ÄTER niŠTRlBÚTIÙN
WATER METER PERMIT
(please Print)
Date: g-/ 3// "",ç-
Meter(s) Installed At: / 2 0 6 'D 0 l/ G'
Name of Owner. D lFw-LTT'" ¡-j.--éf1r3J
Address or Owner. .. I c; V I 5 i~l?"cl:-l
Meter(s) Size: '>('L/ /,
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter
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.. 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 hgme
owner may perform hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters::: 1-1/2" require a bypass.
Meter(s) will be instJrtled and used according to the above information.
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Signature of Owner or Agent
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Print Name of Applicant and Company