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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
Date:> / l L/~ L-
Meter(s) Installed At: ;2. .l. ~ 0 I-Irc.. t..,.",.7 CJ<
Name of Owner: Cot M a 1J'Lrs.
Address of Owner: . ':(OUiD Ifw yJ.J CSHit.bSH
Meter(s) Size: 1/'1' ·
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction
t"", . Single Meter
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. Typical Multi-Unit, Multiple Meter
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~ IIM.DING catmtCL VALVI
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Typical Deduct Meter
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SRWP tlt:8CHAftaa l"l'( V_TO
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Typical Water Use Only Meter
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________ IIEJ'I:R asa&A1'ION VALva
~ CCNI'IIClL VALVI
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 2: 1-112" require a bypass.
Ma1!It IIClU'IIONVALva
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I ~ a-..DIG CDImIIaL. VALVE .
NO UNrrAln'
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AUOMD
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&ANlTAIn'SIWD
ccording to the above information.
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Print Name of Applicant and Company