HomeMy WebLinkAbout1983-Electric (service change)
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AFFIDAVIT BELAYING TO SECTION 1.3.12 (c) OF A GENERAL ORDINANCE
OF TES CITY OF OSHKOSH RELATING TO TEE LICENSING OF ELECTRICIANS
AND PEOVIDiNG PENALTIES
STATE OF WISCONSIN)
SS
WINNEBAGO COUNTY )
G~3
~ Addre s s
first being duly Sworn on oath, deposes and says. that he 1s not
a 21a®nsed electrician in the City of Oshkosh and that he has
applied for an electrical permit to do electrical work in a
residence and/or aua111ary buildings (intended solely for pur-
poses associated xith 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 auailiary 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 far in connection. with this affidavit, must
be .done only by this afPiant and that he cannot employ others to
assist with the electrical work but members of his: immediate
family..
Dated this ~~~
+-~- day °f n __._._~s 1~~.
Subscribed and sworn to before
this --L'~ : day of ~~ 19~.
Notary Public, Winnebago County, Wisconsin
My Commission Expires: ~ l/~ f ~o