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CITY OF OSHKOSH WATER DISTRIBUtION
WATER ME.TER PERMIT
(please Print)
. Date: !--L"3-0 y
:Meter(s) Installed At: 3d-..OJ.. T~Cla. c..
Name ofOwuer: ~"V::1 3::.e</~ .
Address of Owner: ' .~ \I(j~eJPV\ '} I-
Meter(s) Size: . V .
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter
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. 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 his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-1/2" require a bypass.
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Signature of Owner or Agent
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Print Name of Applicant and