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CITY OF OSHKOSH WATER DISTRIBUtION
WATER METER PERMIT
(please Print)
, Date: '1,- "1-O-<:r1
'Meter(s) Installed At:--908 LtO t ,~c::..~ s;:'~ 6>l1f (C}o~ L.) IS(OYV~/I\J ST)
Name of Owner: . o-.ie..~ ~~:;: ,
Address of Owner: __I _ {2_~ .s"'T"
Meter(s) Size: . ~ P' , ,
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction ~
Single Meter .pt-
. 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 his/her own plumbing within their single family, owner occupied
home. For inquiries please ca11236-5052.
3. Meters 2: 1-1/2" require a bypass.
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Meter(s) will be insudled and used according to the above information.
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Print Name of Applic '
Agent