HomeMy WebLinkAbout0009727-Electric (underground service) i
N =
�
N y
QJ � � � A
o i N �y � � "j
Z � � z � .
d � � � � � .
W - A v o � �
Q. � w "'
� � bd z S � :
� �� �
� >a � �
� � o
. 0 � � �,
s � �
N �
0 � � � � �
.]C '� �
S � � °��' � ' a'�yi
p r.—� �� s ,
� �
� � �
� ' z `� �
} �+ � b y �o
V �� p � �" � c a�i
� � �
Z (� � .�' � � F+ o E�
O L ' �� O � �D a y a� � 3
U � � x
; a d g F d � •,��, •d -e � • ~
o � r
p W � � � b � s� aUi � � � :�
Z �...� .� � r� t°n' C' W ��'+ �
O W ,,� � �
U O 3 ' o: �
t�r as"i a�i a' �
W G� C1 p u.� a�i �:
d ^ ,�i 3 ,� � Fi • '�
Z �....� � ���". �� �, �+ �
a� a� s� a
...1 a' 3 q � �
d
at � O � z — � � o
Y'�' � o v� �,, y ca 3
� � � d � �
� . .--�
� t�, '. y � x, `�" � o
� � � � �
o d � � � � �`� ai
f/Z c
J ~� � � � G�i a� r`4" � D► �, C�1 .�
W � 'd �� o x � a> s. t�c,�i "`''"c,yi .. _". � a
s. d� �� � �'' d .[
� o c�o � � q " a� N°' pa°� v � o � :o
� y „�: Fw � w i� � A ''.��o U o a' � A � ;a
�:
�: � � :,�
�W � � � W: a 'a� a :�
.� O � �'� — � � � :o
00 F- v �: `• �y .� `�C ;,�, :�
— W .� ,�: � r° � � '� H :� i
d' � �` � w� � A ;rt
N +' .�2 � ��'
Z .,�� U: Nl --- � r -�
C1�i F-� '• m N c'1 � A ;o
„d � i � 7,
. E3c __ ae :o
�, V a �� � ~ F .tt
� •-1: N' � � � :�a
.� F i-i: N: a y 3 � i'u
r�:
```:�;��.. W r1; r'1' � y q ,s � � � O: \;�
� 7..� ~ �:W
W � � . v' °� .� � u°�o � m v.a�,, c Y o�
+� ` � e0 y ,V y '� ,p ,{• y p Q' .—�i �' :4>
S V s z U � v3i °al � C�7 A � � H > +r� ;�
. .
AFFIDAVIT FiELATING TO SECTION 13•12 (c ) OF A GENEAAL ORDINANCE
OF THE CITY OF OSHKOSH RELATING TO THE LICENSING OF ELECTRICIANS :
AND PROVIDZNG PENALTIES '
STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY �
C�/ � ��� �
Ne� Address
first b�ing duly sworn on oath, deposes and says that he is\ not
a lioensed electrician in the City of Oshkosh and that he has
applled Por an electrical permit to do electrical work in a
residenae and/or auxiliary buildings (intended solely for pur-
poses asaoolated xith 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 electricai work but members of his immediate
family.
Dated this � � � �ay of 1 �
� 9�._,
!��_�2� ,�� i,,�
Subscribed and sworn to before
t � � .� da f � 19 ���
��' �
Notary Public, Winnebago County, Wisconsin
My Commission Expires:�� ��