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PERMIT NO. � % . APPL. DATE �v� �� ��
ELEC. CONTR. �
OWNER � �./��-� /`\ G``�'�
�
ADDRESS � ��; <�- �- L�C��>���j��; h r�-2_/�
NATURE OF WORK
ELEC. SERV. I�tEW CHANGE TEMP.
DESC. TYPE �3 �- ��� � 3-k� VOLTS �� -�-�� ->*-��� � AMPS/� �.
FIX' S SW' S RECEPT' CIRC' S
APPLIANCES
i'` �,% / 1 �
SIGNS C�
INSP. ROUGH SERVICE `'� - � � F INAL� � r 'i
EST. COST ` --< >C=9` " PERMIT FE /�=--`- DATE PD. . `�{�y�r
.
REMARKS
AFFIDAVIT IiELATING TO SECTION 13.12 (c ) OP A GENEAAL ORDINANCE .
OF THE CITY OF OSHKOSH AELATING TO THE LICENSING OF ELECTBICIANS
AND PAOVIDING PENALTIES
STATE OF WZSCONSIN)
) SS
WINNEBAGO COUNTY )
�
� a�'��v , � � ��0,� '���2,c-�- �.�
Name Address
f2rst being duly sworn on oath, deposes and says that he is not
a �iaensed electrician in the City of Oshkosh and that he has
applied for an electrical permit to do electrical work Sn a
residenoe and/or auxiliary buildings (intended solely for pur-
posea asaociated with a residence ) which is owned and occvpied
by him, or is being constructed in his name , as his personal
home and that said residence or auxiliary buildings being so
wlred are not to be used or erected for rental purposes or for
resale to present or prospective purchasers.
Afflant 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
faaily.
. ,
Dated this day of ;� � ' �
, 19�.
k.r /���' �m��-� .
Subs��;.bed and sworn to before
this r,�`�' day of � .� , � lg� .
�>
' �-°�^-�-.��__. �Y 'r �2k����C�.
Notary* Pub11c, Winnebago County, Wisconsin
My Cammission Expires:_ s= I�o I���,