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� PERMIT N0. Z � �J APPL. DATE �� / z- � % �
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ELEC. CONTR. Cf-y�-�.,; �
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TURE OF ORK - ._ � - �
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� ELEC. SERV. NEW CHANGE TEMP.
ESC. TYPE VOLTS AMPS �
� FIX S , 3'� S S �Z.— R EPT �f C�F� IRC S � �
� APPLIAAICES =��_,,._. `
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� INSP. ROUGHIN - - SERVICE FINA - -/ � .
� EST. COST ;rp '"-'"-- PERMIT FEE " DATE PD.;o ; 7
EMARKS
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AFFIDAVIT F?ELATING TO SECTION 13.12 (c ) OF A GENERAL ORDINANCE
OF THE CITY OF OSHKOSH I�.ELATING TO THE LICENSING OF ELECTRICIANS #
AND PROVIDING PENALTIES
STATE OF WISCONSIN)
) SS
WINNEBAGO COUNTY )
/�)lC%�ArL 'f�:��C�E2C , /�C� � �J1:w t�,�C'jc � _
Name Address
first being duly sworn on oath, deposes and says that he is not
a �icensed electrician in the City of Oshkosh and that he has
applied for an electrical permit to do electrical work in a
residenae and/or suxiliary buildings (intended solely for pur-
poses associated xith a residence ) which �s 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 vr erected for rental purposes or for
resale to present or prospective purchasers.
Affiant understands that the electrical wor� authorized by
the permit applied for in connection wlth 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
fadily.
Dated this /Z day of i� , � � , 19Z,
�z:l� ,
Subscribed and sworn to before
this _�� day of Q����, 19��.
i'GG1�2Q�cJ �
Notary Public, Winnebago County, Wisconsin
My Commission Exp�res:_p,;a;�����j.'����}'�2} �`�"�res
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