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CITY OF OSHKOSH WATER DISTRIBDtlON
WATER METER PERMIT
(please Print)
, Date: .l-/Lf - () t. '
57) Fo~~r-
'Meter(s) Installed At:
Name of Owner: D.e I -i-(\ ; 11-
Address of Owner: _ .J' 4--~'-(
Meter(s) Size: ~/'( ,
Meter(s) Use: Check the Use(s) that apply.
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 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 perform hisJher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters~ 1-112" require a bypass.
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Meter(s) will e insudled and used according to the above information.
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tare of Owner or Agent Print Name of Applicant and Company