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08Z~~(20~7 13:12 FAX 920 757 6482
JIM'S PLUMBING
I4J 0021003
CITY OF OSHKOSH WAt'ER DISTRIBUTIoN
WATER METER PERMIT
(please Print)
. Date:_ € b-cf /0 L .
Me'er(.) Installed At: ;;: ~ 1 / ~ c' ~ ('''.' ~
Name or Owner: .~ \ ~(' l~ j.:;r;:!.fl\..;..ICrI~A ~
Address or Owner: , ::::.~
]Y.(eter(s) Size: s.7~ I' . _, .
Meter(s) Use: Check the Use(s) that apply.
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Single Meter . V"'" .
. 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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A Plumbing Permit may be required prior to the 'installation of the issued water
Note:' 1.
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.
Meter(s) will be' t<d d and used according to the above information..
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. t Name of Applicant and Co any
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06125/2003 WED 15:00 [TX/RX. NO 7499] @JOOl