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CITY OF OSHKOSH WATER DiSTRIBDtlON
WATER ME"TER PERMIT
(please Print)
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"Meter(s) Installed At: 311" ~ D Nt' WI. L"c.~ . tov r"" -;-" "
Name or Owner: ~r~s,'J' R,../I)'-trs"
AddressorOwner: _3D 1I~..t.""tt>"."'/ ?"11". AJ~OI"'A
Meter(s) Size: 3,t'..J
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction \..1'
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:' 1. A Plumbing Permit may be required prior to the installation of the issued water
meter( s).
2. All plumbmg must be conducted by a Wisconsin Licensed Plumber, except a hQme
owner mayperformhislher 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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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 and Company