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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: -~7-L\.\.o:r::s~ \...A\.J
CONTRACTOR: l~ \;J"vUL~
PROJECT TO BE INSPECTED: ~ç
TYPE OF INSPECTION: ç-~ Jç~
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City of Oshkosh
Inspecrion 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
["_Mil- -CO])E 0: ",""00 INSPECTION RESULTS
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0 Not APPí\j; Insp. Report ~proved/ Insp. Report given to {),(LV J~
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Inspection Services Division Date of Inspection
0 Mailed/Faxed
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Phone #
Print Name
Company
Signature:
Date