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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: Z 4ø~
CONTRACTOR: sA~~
PROJECT TO BE INSPECTED:
TYPE OF INSPECTION: Rh.'
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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
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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
Signed C)}1 ),,4/1 I Z - '7 -04
Date ofinspection
0 Mailed!Faxed
Print Name
Company
Signature:
Date