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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
Date: 2-( s- / c; 9 .~ .
Meter(s) Installed At: ? ~lv\. ~\.\) A,.. f JJ ~I
Name of Owner:
Address of Owner: ~C5V . <>~;""7{ofiZ-2firLl' i
Meter(s) Size: 3Jt.(
Meter(s) Use: Check the Use(s) that apply.
(please Print)
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 home
owner may perform his/her own plumbing 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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UNn'ARY sawa
d used according to the above information.
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Print Name of Applicant and Company