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CITY. OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
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Meter(s) Installed At: ~r7'T'~""]j::M.:;;;-;~~~;i~"r~'v;{~'
Name of Owner: C) ~~>;' ~ c. 0 " Co. ". fL .
Address of Owner: ) b 'f ~ l\{ \"""- r . vc..... (9 6. \., \l 0 oS "
Meter(s) Size: :r'1
Meter(s) Use: Check the Use(s) that apply.
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Typical New Construction /
Single Meter ~
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 his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 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
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