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CITY OF OSHKOSH WATER DISTRIButION
WATER ME.TER PERMIT
(please Print)
. Date: SI J 1107 .
Meter(s) Installed At: CZ.T1 h'J/",.nc?J .' .
Name of Owner: el2.lA--N"'. l-h:::-NrvlrJ&\-\-efV\Sr:::w ~~@ .,,~~.
Address of Owner: . -[1(2 ~'f1/h "F 51: OsM.flsJ, .
Meter(s) Size: . ~/t./ C:0'E1..l.EY2..)
Meter(s) Use: Check the Use(s) that apply.
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 hQme
owner may perform hislher 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) rJ7d and used according to the above information. _ .
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Signature of Owner or Agent rint Name of Applicant and Company
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