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CITY OF OSHKOSH W ÄTER DÍŠTRIBUtlöN
WATER METER PERMIT
(please Print)
Date: t;-I ! - (j £
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Meter(s) Size: ~ .. . .
Meter(s) Use: Check the Use(s) that apply.
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Typical New C. onstruction V
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 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 hQrne
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 instrlled and used according to the above information,
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Signature of Owner or Agent nnt Name of Applicant and Company
CITY OF OSHKOSH WATER DlSTRIBUtION
WATER METER PERMIT
(please Print)
. Date: 7- /'I-o~
Meter(s) Installed At:
Name of Owner:
Address of Owner:
Meter(s) Size:
Meter(s) Use: Check the Use(s) that apply.
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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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110 ....,..,.
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_____ .-a1lCJ\A')a.VALVD
a&mIG~G. VALVIE
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 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.
I ~ ......cr>>ma.VAL~ .
d used according to the above information.
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Print Name of Applicant and Company