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CITY UF OSHKOSH vVATER DISTRIBUTIU�
. WATER ME�ER PERMIT
(Ptatse Priat}
Date: ���q ro z� �
Meterts)Ias�lied At: `} j� �v s� .
Name af Owuer: N C r�"�e.,� �
Addres�of Owner. o �k s�'�
Meter{s)S�ze• 3��f"
Meter(a)Use: Check the Use(s)tteat appIy.
Typical New Construction �,,� Typica!Multi-Unit,Muitipte Meter �
Single Meter �� rs�no�,��v�
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Typical Deduct Meter i Typical Water Usc Oniy Meter _�
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Noto: 1: A Plumbing Pernut may be required prior to the installation ofthe issued water
meter(s).
2. All plumbing must be conducted by a Wiscvnsin Licensed Pltunber,except s home
owner may perform hisiher ovm plumbing wit�un their single family,vwner occupied
hame. For inquiries please caI1236-5052.
3. Meters>_ 1-1/2"ret�uire a bypass.
Meter(s}will be instalted and according to the above information.
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� ature f wner or Agerrt