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CITY OF OSHKOSH WATER DISTRIButION
WATER METER PERMIT
(please Priat)
. Date: 3/;Z/l)"") .
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Meter(s) Installed At: tN\~,!,p{l..~5e t.kf /le-NT~ ~'IO kOtu.ert~J':,O)H/Co~~i
Name of Owner: ;A l' () )'leX LL I d ~ 1<3 tL C; N"[l!JtP fL1 sc: S :f.N c..
Address of Owner: SOCl w. b -+'- ST. I 6~KClSH I tJ:J. 5l./C;od-.
Meter(s) Size:""3f. . .'
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
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:::: 1-1/2" require a bypass.
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Meter(s) will be ins~led and used according to the above information.
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Print Name of Applicant and Company