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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 )
7, (/ Z 9.9-7 efcfrfow 57
(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 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.
Afflant 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 3 Q2 d day of 0 G r t z • 19ba•
•
•
•-•
Subscribed and sworn before
this
.�, day of _ �..�� � 192Z-1
d _. A►ii■
Notary Publir., Winnebago County, Wisconsin
Rr COMMISSION EXPIRES JUNE 7, 1967
My Commission Expires:
PERMIT NO. / V APPL. DATE //& - -
ELEC. CONTR. / /
,
OWNER it�s r/
ADDRESS 7 7'- ■
NATURE OF WORK
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPES /'D . 3- (, - ' - D /4 - VOLTS L - /O AMPS 2 0
FIX'S SW'S /q RECEPT'S X CIRC'S )<, P
APPLIANCES
SIGNS Getzetp) _
P . ROU N ". ERV _ CE 'PI -/0 If- 'f F N1_. _ /O f5
E T. COST 41P,..." 0 ` P RMIT FE ��.- — DAT_ PD. 4 - , - P-/
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