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PERMIT NO . � '�� �f� APPL. DATE —' ���U
ELEC . CONTR. � ,�,��
�
OWNER >
ADDRESS �� < <
NATURE OF WORK - ���
�-1� .c �� `�" :u=� �.v .-a
ELE . SERV . EW CHANG TEMP .
D S . �—i..e_ VOLTS � `. - � �c AMPS �
FIX S SW S RECEP S IRC S
APPLIANCES
SIGNS - '"
INSP . ROUGHIN SERVICE C ? z��+�: FINAL � Y���F��
EST. COST � � � PERMIT FEE ��� E PD .
REMARKS �c c;
AFFIDAVIT FiELATING TO SECTION 13.12 (c ) OF A GENERAL OADINANCE
OF TFiE CITY OF 05FIKOSH AELATING TO THE LICENSING OF ELECTF?ICIANS
AND PAOVIDING PENALTIES
STATE OF WZSCONSIN) a
WINNEBAGO COUNTY � SS
.� E�f'� z � ��/J /�i � :�C/`� ��--�-t�a /�7'
Name Address
firet being duly aworn on oath, deposes and says that he is not
a 2laenaed electrician in the City of Oshkosh and that he has
applied for an electrlcal perm�t to do electrlcal work in a
reaidenae and/or auxiliary buildings (intended solely for pur-
posea aseociated with a residence ) which is owned and occupied
by him, or is being constructed in his name , as hls personal
home and that said residence or auxillary buildings being so
wired are not to be used or erected for rental purposes or for
resale to present or prospective purchasers.
Affiant understands that the electrical work authorized by
the permit applled for ln connection wlth thls affidavlt , must
be done only by th�s affiant and that he cannot employ others to
asslst wlth the electrlcal work but members of his immedfate
fanlly.
Dated this � day of � � � 1���
V
,
�
- �!'r% ���2��
.�.�,
Subscribed and sworn1 to before ��
thl s /�1 day of � � 1 �j , •
/ `
�; r ' �
Notary Public, Winneba o County, Wlsconsin
�".yt'n.:!r1,��,�.� EXoIR�5
My Commisslon Explres: "'�r �0• iy�l