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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 3~'-4L \'5~~ uV
CONTRACTOR: (~~4.{)L'1.L
PROJECT TO BE INSPECTED~ ~
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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
TYPE OF INSPECTION:
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
..:iJ"i\EMIl..' ;~:C.b])E INSPECTION ULTS
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~t Approved! Ins.". Report left on site 0 Not Approved! Insp. Report given to
Signed U (I {j. ,( ~-~ r2 / I IDS
Inspection Services Division Date of Inspection
0 MailedlFaxed
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Phone #
Print Name
Company
Signature:
Date