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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
Date: ,;:J - s--crq
Meter(s) Installed At: t2A f?71t0/J- J ppJ
Name of Owner:
Address of Owner: ~Qcr >':':"'72. Dgl~~
Meter(s) Size: 3/ L/
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 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 home
owner may perform hisJher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-1/2" require a bypass.
d used according to the above information.
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Pnnt Name of Applicant and Company