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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
Date: ~- /1...- D "L
Meter(s) Installed At: / 'i )3 II u.. (~iJ A.i'" J.. s.-r
Name of Owner: f)L I ., '" ~ ++
Address of Owner: ,f 1+;'Pc.- -(
Meter(s) Size: '}/f' act
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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... METEIlISQf.ATICIIt VALVD
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Typical Deduct Meter
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gWI!R DI:ICHAMIE 1)1" L"..TD
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Typical Water Use Only Meter
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~ 1IEI'EJt ISCI.ATICIIt VALVD
aaDINlI CClIfI'IIQL VAL~
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.
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NO UNrfM'l
IRft!JIt DISOWIGE
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e installed and used according to the above information.
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Print Name of Applicant and Company
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