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CITY OF OSHKOSH WATER DISTRIBDTION
WATER ME'TER PERMIT
(please Print)
,Date: } -If.{" O~
Meter(s) InstaUedAt: 8'5~D(';r+~ J ..L.,,~
Name of Owner: 'oJ... rJ.) ~ '
Address of Owner: _ "is;} ;PC"" ~ TWoGJr... \...4"'....
Meter(s) Size: , It
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction X
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:' 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 2: 1-112" require a bypass.
ccording to the above information.
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Print Name of Applicant and Company