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� PERMIT NO �� ( APPL. DATE �` �� — � � �
�� ELEC. CONTR. �
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� OWNER '1-C
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� ADDRESS �� G�``� �
� NATURE OF WORK �
� — �
� ELEC. SERV. NEW CHANGE TEMP.
� DESC. TYPE VOLTS AMPS
FIX'S SW' S RECEPT' S � CIRC' S�
� APPLIANCES
, � _
� SIGNS
" IIVSP. ROUGHI . SERVICE � rINA 7�.?'l-`H
� EST_ COST . G�p-� PERMIT FE���� DATE PD. ��
� REMARKS
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AFFIDAVIT AELATING TO SECTION 13.12 (c ) OF A GENEAAL ORDINANCE ,
-. OF THE CITY OF OSF�OSH AELATING TO THE LICENSING OF ELECTI3ICIANS
��.� AND P80VIDING PENALTIES
STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY ) ?
� ;
�✓��o/ c��irrS , (� '�/ ��e s� 7�' ;
Name Address
f2rst being duly sworn on oath, deposes and eays that he is not
a �laensed electrician in the City of Oshkosh and that he has
applied for an electrical permit to do electrical work in a
residenoe and/or auxiliary buildings (intended solely for pur-
poses asaociated with a residence) which is owned and occupied
bq 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 applled for in connection with this affidavit , must
be done only by th�s affiant �and tha.t he cannot employ others to
assist with the electrical work but members of his immed2ate £
faaily.
Dated this 1oZ�` day of J �lv , 19�,.
�
Subscribed and sworn to be1'ore
`�his l�� day of � , 19�.
— `�L�A�0,Y,a �� �� �'(�A Q�
Natary Put+lic, Winnebago County, lJisconsin
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