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AFFIDAVIT FiELATING TO SECTION 13.12 (c ) OF A GENEBAL ORDINANCE
OF THE CITY OF OSHKOSH RELATING TO THE LICENSING OF ELECTRICIANS
AND P80VIDING PENALTIES i
. I
STATE OF WISCONSIN) , I
) SS
WINNEBAGO COUNTY )
, ��'�2 t , �210 � T � D.S/� �.c�1S -
Name Address
first being duly sworn on oath, deposes and says tha.t he is not
a 3�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 or erected for rental purposes or for
resale to present or prospective purchasers. �
i
�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 he cannot employ others to �
assist with the electrical work but members of his immediate j
fanily. �
Dated this 1 lo day of �o �� ►�Qc.�. , 19��
�
� j
> F
Subscribed and sworn to before
t h i s �G� da y o f ��"`d�"� �9�� .
�
������v � ��cCG��'�
Notary Public, Winnebago County, Wisconsin
My Commission Expires: ` . ��
P�RMIT NO .���(a� APPL. DATE �/�—�(�, - ��
ELEC. CONTR. -�-' ���
OWNER �
ADDRESS �� �S �,�c.�,E— , ��__� �-
N�TURE OF WORK /- e
.�i�t '
ELEC. SERV . NEW CI�NGE TEMP.
DESC. TYPE VOLTS AMPS
FIX S SW S RECEPT S �'� IRC �i,�
F�F'PLI NCES ��
S I�GNS
IrISP. ROUGHIN_ /7. � SERVICE � FINALj�-
EST. COST ��� PERMIT FEE c�"v DATE PD.
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