HomeMy WebLinkAbout0009551-Electric (service change)
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AFFIDAVIT RELATING TO SECTiON 13.12 (0) OF A GENERAL ORDINANCE
OF THE CITY OF OSHKOSH aE~TING TO THE LICENSING OF ELECTRICIANS.
AND PROVIDING P~NA4TIES
STATE OF WISCONSIN)
) S8
W INNE]?AGO COUNTY )
~~
'-- Name) ,
. IL3~ Ala~~ .p.
{Address . (
,
,
first be1~g duly sworn on oath, deposes and. says that he is not
a lioensed electrician in the City of Oshkosh and that he has
app11ed for an electrical permit to do electrlcal work in a
res1dence and/or auxiliary bUild1ngs (intended solely for pur-
PQsea assoqiateq with a res1dence) whiOh is owned al;'1doccupied
by him, or 1s being constructed in his name, as h1s personal
home and that said residence or auxiliary buildings being so
wired are not to be used or ereoted for rental purposes or for
resale to present or prospective purchasers.
Affiant understands that the electrical work authorized by
the perm1t app11ed for in connection with this affidavit, must
be do~e only by this affiant and that he cannot employ otners to
assist with the electr1cal work but member~ of his i~~ediate
family. ,
~
~.~
Dated this
--2/
." day of
, 19ztf.
Subscribed and sworn
this
County, Wlsco~sin
My Comm1ssion Exp1res:_
1;;2 -;23-]1