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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 )
&e./4) f , • 202 / /Ai 4e (/4-
(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 an 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.
Affiant understands that the electrical work authorized by
.the pgMit 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 ,Z day of OG row d� , , 19L!.
Subscribed and sworn to before
this i day of- , 1 9dLi
A lid _ � Aillt‘i
Notary Public, Winnebago County, Wisconsin
My Commission Expires COANSSION EXPIRES 4UNE 1 l
PERMIT NO 2 1 . APPL. DATE /4 i O
EL C. CONTR. `►' '" ' Acii
OWNER /1-1,/ f
ADDRESS c2 � /f
iii - -_ ,
NATURE OF WORK „c , 7, •< <'-- -�j �„
ELEC. SERV. NEW CHANGE TEMP.
DESC. TYPE VOLTS AMPS
FIX'S S"-- SW'S � RECEPT'S S — CIRC'S
APPLIANCES
SIGNS FTNALg'�3-gy
INSP. ROUGHIN SERVICE
EST. COST _ --- PERMIT FEE _FDA . .-D_
REMARK f a. ��
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