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CITY OF OSHKOSH WATER DiSTRIBUtION
WATER ME'TER PERMIT
(please Print)
yd-2 -0..7
. Date:
Meter(s) Installed At: ,3 'fs-'1 .::;;;.<--/:> C);J 51-
Name of Owner: ..s q;(;lI'MC>NP"Op~r+;es
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Address of Owner: 1 g ,:) 3 G ,OJ,€: S-f-.
Meter(s) Size: ~ .. .
Meter(s) Use: Chec the Use(s) that apply.
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Typical New Construction
Single Meter
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. Typical Multi-Unit, Multiple Meter
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---- -.oM CCIIfIICL VALVI
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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 ~ 1-112" require a bypass.
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Meter(s) will be instmled and used according to the above information.
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Signature of Owner or Agent Print Name of Applicant and Company