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CITY OF OSHKOSH WATER DISTRIBDtION
WATERME"TERPERMIT RE EI
(please Print)
E
NOV 2 2 2006
" Date: I/-/I:Y-o l.
J3D
.. Meter( s) Installed At:
Name of Owner: I>-A v..e
Address of Owner: _ S ~
Meter(s) Size: ~/..;,
Meter(s) Use: Check the Use(s) that apply.
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DEPf.\RTMENT OF
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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:" 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 hQme
owner may perform hislher 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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'll be insudled and used according to the above information.
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Print Name of Applicant and Company