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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
. Date:
q- 8-DLt
Meter(s) Installed At: :l. '30 LV M u. ~ 00C.1<::.' 0 PtvE 00
Name of Owner: "3'"~ 't-I'- \,) e t(),1-+~
Address of Owner: rq,O ~,,~ I b f9.;)'7 G,r-e.eN\, 't~Y' LJr ~-'I1P7- 0/0;:;-7
Meter(s) Size: ~/t.f ,,' I
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
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. Typical Multi-Unit, Multiple Meter
1IKIIII.-A1'DIVAUID
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...,-aMn'M'f_
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... 1II1'IJl1SC&A1'DIVALVD .
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.......- 1MIrM'f IaWl!Jl
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Typical Deduct Meter
110 UMl'rMl't
8WDDIIU:::W'''' , ~TO
AL&.i::IWI!D aMn'M'f_
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Typical Water Use Only Meter ~
lIiWtI!R n!Q,&'I'D-'!l.'81'I!i
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110 SAMrM'f
-"'IOWIGE
ALLOMD
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SAMr.urr SDftR
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~ lIEI'D_u"~VALva
aaJl8IG CDn'Q. VALW
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 his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
I ~"""'CDImIClLVALVE .
Meter(s)
used according to the above information.
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