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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(please Print)
Date: 10/15/0 I
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Meter(s) Installed At: . Z ~ 45",/1: ;cko-"-j Sfree 1-.
Name of Owner: ivtl Ice Zes.s:.,'1
Address of Owner: 2 2.0C(J e.t'c.r!;o........
Meter(s) Size: ,Y'I
Meter(s) Use: Check the Use(s) that apply.
Typical New Construction
Single Meter
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Typical Multi-Unit, Multiple Meter
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EMK'WIlRTO
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~~TO
...-- UNn'AIft' IllWQ
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.... MK1D 1SOLA1'Df VALVa
~ -.aDD c:atma. VAU/8
.-..... CClImIDL VAL.
Typical Deduct Meter
NO UlllfAlft'
IaWlDIDIKI~_ v"A('"t'IMETO
AU.DWI!D .....AIft'.....
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Typical Water Use Only Meter
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4 ~ uaDIIClLA1DIVALVQ
~CCIftRCL VAL.
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 hislher own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters 2: 1-112" require a bypass.
""IICII.AYDI VALVa
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1: '.:I:~ ~
· I. 1 .
. I ~ -.allDCCImlClL VALVE .
NO UNlrNn"
..... D'tCHolIGI:
AL&.OW8l
"-eM-... TO
UNlrAIIY sawo
Meter(s) will be insurlled and used according to the above information.
~~ t6:+~:ck O-/',/',-<"l;
. Signature of Owner or Agent Print Name of Applicant and Company
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