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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
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Address of Owner: 5 Ii; +{ w ~ S' (
Meter(s) Size: I' I -
Meter(s) Use: Check the Use(s) that apply.
(please Print)
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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: 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 ~ 1-112" require a bypass.
Meter(s) will be installed and used according to the above information.
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gnature of Owner or Agent Print Name of Applicant and Company .
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