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� AFFIDAVIT F3EI,ATING TO SECTION 13.12 {c ) OF � GENEAAL CRDINANCE
OF THE CITY OF OSHKOSH F?ELATING TO THE LZCENSING OF ELECTRICIANS
. AND PAOVIDING PENALTIES
STATE OF WISCONSIN)
WINNEBAGO COUNTY � SS
�
-�%/�s��.,/�c� i / 2- �� � �//..3,�✓?T j
lName � Address
first being duly sworn on oath, deposes and says that he Ss not
a �ioensed electrician 1n the City of Oshkosh and that he has
applied for an electrical permit to do electrical work in a
resldenae and/or suxiliary bu11d1ngs (intended solely for pur-
poses associated with a residence ) which is oH+ned and occupied
by him, or is being constructed in his name , as his personal
home and that said residence or auxiliary 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 applied for in connectlon with this affidavlt , must
be done only by this affiant and that he cannot employ others to
assist with the electrical work but members of his immediate
fanlly.
Dated this � day of �l��-
._.�._._� 19z�.
� �� �
Subscribed and sworn to before '
this �'t � day of �
-� �92 —
7 ,� ' �.
P7otary Public, Winnebago County, lJisconsin
r"y'r-0MMlss!eN Exa�R�s
My Commission Expires: �U�rzo, 19�,
s
PERMIT NO �%t�(�� APPL. DA�-�'�"�� ���
" ELEC. CONTR. ��
OWNER ����Q �.�c�s�
_ r
ADDRESS !��
_: NATURE OF WORK �,,,.j,,p � � �� .��� �
� ELEC . SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX S SW S RECEPT S IRC S
APPLIAN S
SIGNS
INSP. ROUGHIN _ � SERVICE ��� FINAL �e 3�
EST. COST PERMIT FEE DATE PD.
R MARKS —
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