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CITY OF OSHKOSHW ÄTER nlŠTRlBUTIÙN
WATER METER PERMIT
(please Print)
Date: If "'}-fl.-o I,.
Meter(s) Installed At: \O~'.) ~'\a.......- \r\...
Name of Owner: '1>f'IV.O . \-1- . ~l-~
Address of Owner: SttM-t...-
Meter(s) Size: "¥.~ (^-tß.- . . .
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
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 Pemrit 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:::: 1-1/2" require a bypass.
Meter(s) will be insudled and used according to the above information.
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Print Name of Applicant and Company
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