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CORRECTION NOTICE / FIELD INSPECTION REPORT
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CONTRACTOR: ~~
PROJECT TO BE INSPECTED: Lfi"ç
TYPE OF INSPECTION: --:¡:::: Dù::> I F"~
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JOB LOCATION:
City of Oshkosh
Inspection SeMces Division
215 Church Avenue. PO Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of
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ot Approved! Insp. Report left on site 0 Not Approved! Insp. Report given to
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Inspection Services Division ,{te of Inspection
Print Name
Company
Signature:
Date