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CITY OF OSHKOSH W ÄTER nlšTIUBUTIÖN
WATER METER PERMIT
(please PriDt)
Date: -z.. -Cb-o6
Meter(s) Installed At: If 55 f/e..¡-j ì
Name of Owner: R.....s<c1A. HoMf!<:""
Address of Owner: [).O. ßot: L 'Z-3
Meter(s) Size: '7l..¡" .
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 their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters::: 1-112" require a bypass.
Meter(s) will be instIlled and used according to the above information.
L?/I~- ':;85 ?{O\r-~~
Signature of Owner or Agent Print Name of Applicant and Company