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CITY OF OSHKOSH WATER DISTRIBDtlON
WATER ME.TER PERMIT
(please Print)
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. Date: / / ~lr\ I U "')
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Meter(s) Installed At: ,,~)f{'S k f) if L L..-G II ..-~, T
Name of Owner: l-A {'va. MA, pt, j./,,-. DC-veL i)P,'i"lc..-vT
Address of Owner: PO.:3 i))(.. ,:23 &" (0 i}S flk;)$rl
Meter(s) Size: 3/w ' . .
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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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 2: 1-1/2" require a bypass.
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Meter(s} will be'i:tlffid!~d~9\iSed according tathe above information.
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Signature of Owner or Agent Print Name of Applicant and Company
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