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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
Date: / l~ 20,,? 7
Meter(s) Installed At: /52n
Name of Owner: L ~Cj A..C ~
Address of Owner: .06 R 0-<- 3/ ~.7
Meter(s) Size: '~/'-t '.
Meter(s) Use: Check the Use(s) that apply.
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Typical Multi-Unit, Multiple 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 home
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-112" require a bypass.