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CITY OF OSHKOSH WATER DISTRIBUTION
WATER ME'TER PERMIT
(please Priat)
. Date: 7 -- J..1--o i
'Meter(s) Installed At:
Name of Owner: c{.r
Address of Owner: . - ~
Meter(s) Size:
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction V
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 ~ 1_112" require a bypass.
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Meter(s) will be insudled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant an Company
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