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11/18/2002 09:06 1-920-730-0898
HANSONS QUALITY PLUM
PAGE 02/02
. CITY OF OSHKOSH WATER DISTRIBUTION
W ATERMETER PERMIT
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Meter(s) WtaJled At:- ;J7.C 1. 1J4~ /I~ JS T. rr ,
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Meter(s) Use: Cheek the U e(s) that apply.
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Smgle Meter . ~
Typical Multi.Unit, Multiple Meter
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Typiw WafJU Use Only Meter
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Note: 1. A Plumbing Pmnit 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 vvithin their single fantiIy~ owner occupied
home. For inquiries please can 236.5052.
3. Meters ~ 1-112" require a bypass.
Meter(s) will bein.stafled and used according to the above information.
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Signature of Owner or Agent
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