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CITY OF OSHKOSH W ÄTER niŠTRIBUTION
WATER METER PERMIT
(please Print)
Date: 7 Is/IPs'
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Meter(s) Installed At: /GI'fj'S 1/£/:0/ AI'!v..-!I/ D~
Name of Owner: f2vse:-ff /-!ðMA..S.
Address of Owner: Po, &,'x "","'-3 C>J'l-.ttL>, t-- I ~<t'9(; <:
Meter(s) Size: <""3,Æ¡ .
Meter(s) Use: Check the Use(s) that apply.
Typical Ne.w Construction. \/ . Typical Multi-Unit, Multiple Meter -
Single Meter ~ _18I&A1DIV--
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Typical Deduct Meter
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Typical Water Use Only Meter
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Note: . I. A Plumbing Pennit 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 perfonn his/her 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 insUlled and used according to the above infonnation.
,?t!.S. ?!-",..,e w6 é'P",,-I. :s; <u.
Print Name of Applicant and Company