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CORRECTION NOTICE / FIELD INSPECTION REPORT
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CONTRACTOR: /1/) WI'U-
PROJECT TO BE INSPECTED: Le{'/ ~/./~ pC/4?kx
TYPE OF INSPECTION: ~"fA ¡¡¡1- -;. ,J/þ,,4C
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
.'irtEM#.. ""fOOD!- INSPECTIONIU;:SULTS
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JOB LOCATION:
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1l30
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
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¡zf Not Approved! Insp. Report left on site 0 Not Approved! Insp. Report given to
Signed ~ J.~n ~~ivision I i;f¿fp~tion
0 Mailed/Faxed
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Phone #
Print Name
Company
Signature:
Date