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CITY OF OSHKOSH W ÄTER DISTRIBUtION
WATER METER PERMIT
(pleue Print)
Date: 2 - 13-06
Meter(s) Installed At: J ISO f/ej ~ Ho..vW'\..
Name of Owner: rl....scl'\ !lo,...es
Address of Owner: \',0. ßð)I '1'2.3
Meter(s) Size: '}/y'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: 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 theirsingle family, owner occupied
home. For inquiries please call 236-5052.
3. Meters:::. 1-112" require a bypass.
Meter(s) will be instUIled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant añéÍ Company
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