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CITY OF OSHKOSH W ATERi DISTRIButION
WATER ME.TER PERMIT
(please Print)
. Date: ~/~(,i;:;7 . .
Meter(s) Installed At: 18-a.S O~~O
Name of Owner: SCt"I'l.: L
Address of Owner: ).l{'( ::r-
Meter(s) Size: 1('{ II .
Meter(s) Use: Check the Use(s) that apply.
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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 his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-1/2" require a bypass.
I '~~COIma.VALVE .
Meter(s) will e insurlled and . ed according to the above information.
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ignatute of Owner or Agent Print Naine of Applicant and Compan
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