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. CITY OF OSHKOSH WATER DISTRIBUTION
WATER ME.TER PERMIT
(please Print)
. Meter(s) Installed At:
Name of Owner:
Address of Owner:
Meter(s) Size:
Meter(s) Use: Check t e Use(s) that apply.
Typical New Construction .'V
Single Meter -A-
. 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:' I. A Plumbing Permit may be required prior to the installation of the issued water
meter(s)... .
. 2. All plumbiIlg must be conducted by a Wisconsin Licensed Plumber, except a hgme
owner may perfonn hislher own'plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-11211 require a bypass.
1
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Meter(s) will be instml d and used according to the above information.
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Signature of Owner or Agent Print Name of Ap
. l(f..~' - ~ud~
cant and Company V