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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: \~ LLJ \<:ü~ f\-..fL
CONTRACTOR: Q.A...A$I ~ (-\-oJ...,..'t~
PROJECT TO BE INSPECTED: ~t=="
TYPE OF INSPECTION: ¡:::- -\b\..b I P- ~
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City of Oshkosh
Inspection Services 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
-,re ",::,!'." INSPECTION RESULTS
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~ APProv) Insp. Report left on site 0 Not Approved! Insp. Report given to
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Inspection Services Division Da'te of Inspection
0 Mailed/Faxed
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Phone #
Print Name
Company
Signature:
Date