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AFFIDAVIT FiELATING TO SECTION 13.12 {c ) OF A GENEAAL OHDINANCE
OF TFiE CITY OF OS�OSS AELATING TO TI� LICENSING OF ELECTI3ICIANS
AND PAOVIDING PENALTIES
STATE OF WISCONSIN) '
) SS
` WINNEBAGO COUNTY )
ti
(-1�B�a..T �. L�TZ�t � Za�o ��t���-o Sr ��f, �os�-�,��.
Name Addre s s .���O�
first being duly sworn on oath, deposes and says that he is not
a �icensed electrician in the City of Oshkosh and that he has
applied for an electrical permit to do electrical work in a
residence and/or auxiliary buildings (intended solely for pur-
poses associated with a residence) which is owned 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 vr erected for rental purposes or for
resale to present or prospective purctiasers.
Affiant understands that the electrical work authorized by
the permit applied for in connection with this affidavit , must
be done only by this affiant and that cannot employ others to
assist with the electrical work but me be s of his immediate
faoily. ;
;� �
,
Dated this day of , 19�
1
� Subscribed and swor � be ore �
� � �tr.3� c� q of , 19 .
� .
.
:�Jc;ta�y F�:'.�1i'��, Winnebago C nty, Wisconsin
irq Commis��on Expires: CQ ��
"� �r �`�' ��- -�?.� .
PERMIT NO. ��,i � �� , APPL. DATE C
ELEC. CONTR.
J � .
OWNER
ADDRESS ��/ � `� J��
NATURE OF WORK ` � �
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS �r--
FIX' S SW' S RECEPT' S �� CIRC' S �
APPLIANCES
SIGNS
INSP. ROUGHIN SERVI CE ,� F INAL'7 ' %i(1� �
EST. COST �?r) �-=-- PERMIT FE G� >� DATE PD. �T=Z`t"�5
�
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