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Home My WebLink About0008342-Electric (service change) N .8L2 U m E w et t co a 0 3 rn M .--a yam CO O Q U' _3 o 1 a) .--1 w Cli ca G) o m m Z Z a ° a) a. a) • 3 o v' -o :.- a o d c co co° m co o 0 1 ' s c � 4 as \ = 3j o LT_ 4 a a `) ` n a) . c c O > cl © O C o 0 \ • b as O :9..c IL IL as N °off a •o a) ��a a a) o a) 4) = 0 I` . us :? o o m • 0 o c C c i � U cu o t w .. a) m om C al c O ■ w 3 O O i ca N C b U (O •C C 0) o Z U < C LL W U) it a 3 O N 'g >, to1 3o 1gdau \ ' c c CO I— m ; 0 m 0) C 1 Ox8 en C • 1 o . 'O °r co x) O 'a C ea - 7 N d C � X O i t ' a) a) 4 z o a) f0 a) .c m N C ‘ ti, LL 3 c ?< E r' m N � . t c ro s i X cn ` �i il - .ate,..) o ca U 3 I- tx 1 1 t E o v w v2 o O a � \ U z °— • v rn 1 co O d o Ot O Cl) 1 c Z .= 3 w -a 5 v2 c ' o c g O * -N [ O L O W . ., co N a CO he C) J a) w • C c N C 2 2 N m U cc li in 2 r w )-v • c° cn Q m Q O -- - -. _ O C O ' \ \ o N ` H 5 III , � ` ❑ 0 � � , v c Q .\\ 1. a a) ) ❑ co e a) Ir c ` i i 0 ❑ \ ..- as o . C p a) as :r E V E U U as W \1 d o o c . 1 Q ❑ o ❑❑ o 3 a 1 1 os c a) - .v 6 a) U m m \ o 0 1 Z C y !A co Q N L > 0 (1 \ O co d O S c2 m Q C E � = c m E o ci U >, v . . \ c cn S a m c ° ' co a k w❑ J CL 14, � � vi U c n m U ❑ ❑ �\ O O «• O • c \ w 1 limo J : E > c . I - Ne w '0 mm o. d p = �o 0 a \, 0 0 o c p' r p , • d 0) cc 00 o -2 c o' Qp c o O O O IiC76�m C m•.m O U) CO ` Q V O Q j L l Q :6-: Y o V 3 a) a) .. u) Z Q ai o L 1 c (n 3 c a� V = V F- ca) a 3 Z ij c N O ° a � i m ca 'a V g sn , cA m a) , O o m o m . sn U c 2 ` m C Z C'3 0 2 O �� v To o = ti ; U u) y L .0 aa) H - L41 N X a I CD 3m33 Y3cna XU °woo ww°ii N \ • 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 ) /l5 )4»' dam 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 b9 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 woh,a, d day of - 1. , 191.L. • Subscribed and sworn to before this /44' 11 da' of 9 , 19 - -414, JAL, 11 G Notary public, Winnebago County, Wisconsin MY COMMISSION EXPIRES My Commission Expires: JULY 14. ; 185 • PERMIT NO. p� , APPL. DATE - © ` ELEC. CONTR. 1 6;4.0 - 7.- < _ / C, 7 OWNER �� ADDRESS / V 4? NATURE OF WORK / .. ' _� rg i J& -. 11 tip r�Jl/ r �L ��.'` it /1/ /es — ELEC. SE •, /. NEW CHI G T D_ESC. TYPE VOLTS AMPS" FIX'S_ RECEP 'S • CIR ' APPLIANCES , �� / / et �/% aw' SIGNS INSP . ROUGHIN SERVICE F INAL Z=1/ EST. COS,S - '_ PERMIT FEE / —DATE PD. / REMARKSln -: �/�5 SEP ' �d 1 1381 ,..