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CORRECTION NOTICE / FIELD INSPECTION REPORT
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CONTRACTOR: ~.'<:fb I C ~"L">
PROJECT TO BE INSPECTED: lÞr- J
TYPE OF INSPECTION: :::t<.. ßLb 'e. ~
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JOB LOCATION:
City of Oshkosh
lospectioo Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1 130
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
é "CO!!E ,(. INSPECTION RESULTS
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~t Approved! Insp. Report left on site 0 Not Approved! Insp. Report given to
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Inspection Services Division Date of Inspection
0 MailedIFaxed
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Phone #
Print Name
Company
Signature:
Date