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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
. (please Print)
Date: 5 ;;.-/3 --11
Meter(s) Installed At: dO d 5 0el..sI i~ h -j--> c r
Name of Owner: &115fn (J/./;3 C!tlj,)L. ~e.5.
Address of Owner:V II /1)(11/ Tb U.J ~ r t/ l"~ It.J
Meter(s) Size: ./L<_
Meter(s) Use: Check the Use(s) that apply.
Typical New Constru. ction y.
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 home
owner may perform hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
'll be installed and used according to the above information.
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Print Name of Applicant and Company