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CITY OF OSHKOSH WATER DISTRIBUTION
WATER l\1ETER PERMIT
(PIase PriAt)
Date: '1-{ 2 '0 G
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Add..... .COwIIer. oJ" 1% ; A"
Meter(s) Size: . J. yo" .. .
Meier(s) Use: Cheek the Use(s} that apply.
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Typica1Multi-Unit, Multiple M~ _ _
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Typical Deduc:t Meter
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Typical Watet Use Only Meter
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Note: 1. A Plumbing PemUr may be required prior to the installati<;Jn of the issued water
meter(s).
2. /ill plumbing must be conducted by a Wisconsin Licensed Plumber, except a home
owner may perform hislher own plumbing within th.e1r single family, owner occupied
home. For inquiries please call 236-5052.
3. Meters ~ 1-112" require a bypass.
M~.,:s) will be insta11ed and used according to the above information.
Signature of Owner or Agent
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Print N&ne of Applicant and Company