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CITY OF OSHKOSH WATER DISTRIButION
WATER ME"TER PERMIT
(please PriDt)
"Date: lj).b-O 7
"Meter(s) Installed At: I Y () tJ, I b t.{
Name ofOwDer:q-~Ow' f.r..t..f.f-er-J
Address of Owner: .! it-fl"--e..
Meter(s) Size: -;/4 "
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
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Typical Water Use Only Meter
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Note:" L 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 hQme
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-1/2" require a bypass.
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Meter(s) will be insurlled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company