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CITY OF OSHKOSH vi ATER DISTRIBOtION
WATER ME.TER PERMIT
(please Print)
. Date: , t - (;1) -Ct((
Meter(s) Installed At:" i(J.tJI'j: r;.. (t.<;.-o. d-,
Name of Owner: c;, hI" [,' {? . p....vvl<.. .
Address of Owner: _,' ;;).2).19 i -;:j"iujc<P-'1A ?l-t
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Meter(s) Size: -? /~ ' .
Meter(s) Use: Checft 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:' 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 hgrne
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-1/2" require a bypass.
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Meter(s) will be ins led and used according to the above information.
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