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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
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Date: 7- C/ - .r
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Meter(s) Installed At: :\ /3-)'- '. JI-ickcu '-/ L r
Name of Owner: ';1';17 P;--t'4:-;'C';: C-t--e r'/;';5' /~'FYl / \(.l.\\'.?:,I~ CLASSiC' H:r.rYJ'f-'S
Address of Owner: ,;4/ 5~5~- //"'(;~C;""I/ (' r-
Meter(s) Size: / '" /
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
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Typical Multi-Unit, Multiple Meter
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Typical Deduct Meter
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 hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
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