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CITY OF OSHKOSH WAtER utSTR.IBU'TloN
WATER ME.TER PERMIT
(Pleue PriIlt)
,Date: /A-/.d 'I
.
'Meter(s) Installed At: ~~t ~ ~otJ /4.4 [,JW I /I
. :N:ameofOwoer: 4.~~~/ Lt"'''~A/ t1... /
.Address o~OwDen r, ~~,; ~ li_~~Jc~ .lJLl 4r/J6JI~ r~'tJV ~,;t 11 .
Meter(s) Saze; .::J y _ _'-.
Meter(s) Use: Claeek the Use{.) that ~pply.
Typical New Construction
Single Meter
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. Typical Multi..U~ Multiple Meter
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Typical Deduct Meter
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Typical Wattr Use Only Ml!Itet .'
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IfIC'fD -':l.r.\ilClII VN.WS
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Note: ' 1. A Plumbing Permit may be required prior to the instalJa1ion of the issued water
roeter(s). ,
, 2. All plumbing must be conducted by a Wisconsin Licensed Plumber, except a h9me
owner may perform hislher own pJwnbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2:. 1-112" require a bypass.
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Meter(s) wil be installed and used according to the above information.
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Print Name of Applicant and Comparly.