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Home My WebLink About0008215-Electric � �t� � � � � �.,, L y� � 3 rn N -a�v °° y m�° � � Q � � O� �— > c � � � o� o �p C7 3ma ` r � � � o � a� � •-., L � N � � Z Z `° o $ � � m � E° � a , � m3 .r c — a �o m N '= � O �a _ � � � •� � � � «3�� C � � O � � a j � o �� C C �` � � �' y� � � a a „ � fts o� c � cC 1 � `o �� C � � Z,� co d � � N � j � Uv m i i ami °o `' � °' � ��3 3 v� "- � :) V .p (n o � � -p C N w C C N ("'j � •` L. m � � r � � � � �. � � �. � 3 � � �� c v� �- Q o `° � i v� °o °—' � _ �, � `° •c c p) 0 fn Z � U Q c LL. W (A LL � n-� 3 � O C � .� 3o y N � � 707��y�daQ � c io � g o ; � .t�.. c�o•°-' � � � O X tC tA C / 0 +.. � � �L � O � ,,, C fC ri� 7 �j N � d C �tA x � � .� � y � y C -p (� � � U 7 O � C m � � v > �U T e. ro X �'� � ; � m � � V�L '�• cn � E � � v�i � p c�i c� � � L � .-. �q � mo Y � � x � ��6 cmro � � a � '3� 7�' — T� � � U � O� a�°i cn c c �3 �o� c c0 .. C,)co � � � � � �� d ° � O U � � .�.t Z�� V � � N o «- � �t . � � � � C ,� � Z � � o � � � ❑ b � p L V i � ° : _ � Z U ,0 3 � �v=� �� g w Y cYi � °' .� c rn � = o�� °' a � a� c L v � ' _ � � a�i o° o N 'm � o � �,.� " �° °' -�v >, � N � m C7 Q li (A 2 W f-'v w m 5 c�.� � Q 00 Q ; 0 LL a`� O � o 3 H � �' � � `� V � � c w n' Q, � E � � N � � Q � �i � ° � � � c_Yo o. U C� m 3 � c � O � > > � � � ~ � � U U N � rn a o o � cn ❑ ❑ ;_, � �° c c � � . . LL L � Z � g � io c c � v� -- ❑ ao � w z � •v��i � L ~ o � U °�°. E > a��i �. co Q $ c� m a o a� OC O = � C m ? � � � U � C� � � � a � � ❑ w � � c� Uc� oOU Z. � J � � � � N a � � � � � � .� I � > > = o. � U � YW mm � �, � ❑ = o `� � o 0 0 � ot � � � � � � � � a> � �j � m ❑ �3 W ❑ > > � � � -a � � w � � a � � U U o � r c � � Q ❑ � �n � co � Q c p o cc � � � � �, m � c7 � � � m � � = O m a O � � � ~ C) — ii C3 � Q 3 v�i � I Q 0 ❑ v' � � � ~ � J Z Z � O Z Q � p � �. � Q = Y U 3 ` a� I �, � aNi O a� c� � c � 3 Z c� 3 Z y o � � LL V � �' � U � � v� 'c� � a o m � � c� � mU � = m c Z � o � � � � � � v, � � � .� ca w: L F- L � � � »_- c c� .` y � � � � � � � � t (LA ..�. f� �a�.. 3 � Q • v a� � � V ,`-. � 3 c° .`-, J � Z a m m � � � � = � t ' W � o >. s �c � � u�i x a a��i � � m3 � x � cna x � c� cnc� c� wwoi� Q w AFFIDAVIT I3ELATZNG TO SECTION 13.12 {c ) OP A GENEAAL ORDINANCE ' OF T� CITY OF OSF�OSH AELATING TO THE LICENSING OF ELECTAICIANS AND PROVIDING PENALTIES • � STATE OF WISCONSIN� SS � �' WINNEBAGO COUNTY ) , �3/ �' L , �1)��J �n ��t � v� Name Address flrst being dul� sworn on oath, deposes and says that he is not a 2laensed electrician in the City of Oshkosh and that he has applied for an electrical permit to do electr�cal work ,in a residenae and/or auxiliarq buildings (intended solely for pur- poses associated with a residence) which is owned and occupied by him, or is being canstructed in his name, as his persanal 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. Af'fiant understands that the electrical work authorized by •the permit applied for in connection with this affidavit, must be done only by th2s affiant and that he cannot employ others to assist with the electrical work but members of his immediate faaily. Dated this � day of _, 19�. �i�2s�� : �L.,.. �.,0� ,�, _�c Q_.� Subscribed and sworn to before ' thi s �_ da of , 1�. � Notary Pub11�, Winnebago County, Wisconsin My Cammission Expires: � My Commiss+on Expires Nov. 28, 198� � � r/ PERMIT NO. �,��S' APPL. DATE ��-�� ELEC. CONTR. ��tic'�L.Q� OWNER ADDRESS � i�� . NATURE OF WORK � '� � ELEC. SERV. NEW CHANGE TEMP. DESC. TYPE VOLTS AMPS � FIX' S ,,— ' RECEPT'S�/ ��1� �.� CIRC' S APPLIAN ES - SIGNS IIQSP. ROUGHIN — ,— SERVICE r^INAL��G• L�� EST. COST PERMIT FEE DATE PD. REMARKS ' - _ � — ---7. . � ��i �� -�� -� -� � �� d � � �� « .