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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCA nON: \~"t') \ - \ "ì~'ì \..Ù:':::> -n\-
CONTRACTOR: L- \"'\C) ~
PROJECT TO BE INSPECTED: 5 ÙN rí
TYPE OF INSPECTION: ::;<,. ~ J "l.. t-hAL
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City of Oshkosh
Inspection s..vices 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
: 'CODE INSPECTION RESULTS
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0 Not Approved! Insp. Report left on site 0 Not Approved! Insp. Report given to
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Inspection Services Division Date of Inspection
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Phone #
Signed
Print Name
Company
Signature:
Date