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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
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,Date: "3>/t'L/c::r" ,
'Meter(s) Installed At: /8-J.I CJft1-O STtlr::eT
Name of Owner: f 1\.:; ~.>)~x'"
Address of Owner:_--,-__~S !t:tckoil V LA N (~ (
Meter(s) Size: '>f" .
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
Single Meter
. Typical Multi-Unit, Multiple Meter
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Typical Deduct Meter
110 UlllTMlf
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Typical Water Use Only Meter
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110 .......,.
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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~ 1-112llrequire a bypass.
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Meter(s) will be insUrlled and used according to the above information.
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Print Name of Applicant and Company
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