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HomeMy WebLinkAbout0009812-Electric (garage) CV .k--I 00 C3� v t A t PO ci. of ca Z ti t z I ti ��o i- $o V R Fri 0 0 o to A a w CA C.1 P4 fr-f as as co to t-1 ut s Q o a a+ •d p v 4, d I 0 H 1 A a a 4_, 0 0 N 04 0 4 FA la o 8 41 s, G 44 b O (I) E O Z O 0 W 0: 11111111 O _U L a c� c o l o a 3 a W rn o Ir ur ca v J o us a _..p... W a a PI W q x 15 Clo H y as cu ,ca 0 x N ©R® 1111 o a t i 3 a o 0 f-i Ni o o DI 1.1 o CO 4/4 CI t r 4) r ,o o q a N- fr c. V xi V PG t C7 A E. D vs AFFIDAVIT RELATING TO SECTION 13.12 (c) OF A GENERAL ORDINANCE OF THE CITY OF OSHKOSH RELATING TO THE LICENSING OF ELECTRICIANS AND PROVIDING PENALTIES STATE OF WISCONSIN) SS WINNEBAGO COUNTY i/r/ 74i/, YSR./y, J7 /2 p /V (Name) Address first being duly sworn on oath, deposes and says that he is not a licensed 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 assooiated 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. 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 family. Dated this day of yr L 19:2 Subscribed and sworn to before this d 19 414115 Notary Public Winnebago County, Wisconsin My Commission Expires: /0.2-2,3-2;