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CITY OF OSHKOSH W ATERDISTRIBUTION
WATER METER PERMIT
(please Print)
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Meter(s) Installed At: 22CXJ 1t~'~'';,A;'';;t' I~:w'" l::'~"-<
Name of Owner: k"l',?~&JtJ.-T'''' "~~\lc;'"",,,,:,~d:s::
Address of Owner: .5:4,)' ~ -; 'I ~ s wAsIIAv~
Meter(s) Size:<1>~'f, . ,
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Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter X
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:: 1-1/2" require a bypass.
Meter(s) wil:.~e~~~~ and used according ~ the,ab~ve infonnation. !ill &-ytrJ - ?~,:
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Signature:1ff Owner or Agent Print Name of Applicant and Company
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