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CITY OF OSHKOSH WATER DISTRIBUTION
WATER METER PERMIT
(Please Print)
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Meter(s) Installed At: ~~ ~
Name of Owner: Ry~ ~ ~ o v ,~,
Address of Owner: SG'7~i H w~ I
Meter(s) Size: ~y
Meter(s) Use: Check the Use(s) that applys
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Single 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
3.
All plumbing must be conducted by a Wisconsin Licensed Plumber, except a home.
owner may perform his/her own plumbing within their single family, owner occupied
home. For inquiries please call 236-5052.
Meters > 1-1/2" require a bypass.
Meter(s) will be installed and used according to the above information.
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Signature of Owner or Agent
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Print Name of Applicant and Company J
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