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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: Izlz... ~I'r-~)( 5-&
CONTRACTOR: i?\l:Jh HoMeJ
PROJECT TO BE INSPECTED: /l.lf w Horn e.
TYPE OF INSPECTION: Fi'h"f 8/J¡. l:;Jru: r HIIAÇ
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City ofOshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
4- PI"Ih
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 oftbis notice
and return it to the Inspection Services Division by the Compliance Date of
;';<GO1íE " ,,<;C', INSPECTlONRESULXS
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)(Not Approved! Insp. Report left on site 0 Not Approved! Insp. Report given to
Signed qIj- ).An Z,n,& '} -~ - QJ
Inspection Services DlVlSlOn Date ofInspeclIon
0 MailedlFaxed
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Phone #
Print Name
Company
Signature:
Date