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CORRECTION NOTICE / FIELD INSPECTION REPORT
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CONTRACTOR: MIDWEST
PROJECT TO BE INSPECTED:
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JOB LOCATION:
City of Oshkosh
Inspecrion Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
TYPE OF INSPECTION:
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Violations must be coITected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the coITections, the owner/contractor/agent must sign and date at the bottom oftbis notice
and return it to the Inspection Services Division by the Compliance Date of
,JiM" <\:;'" 0 INSPECTION RESULTS 00 0 "
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;;rNot Approved! Insp. Report left on site 0 Not Approved! Insp. Report given to
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Inspection Services Division Date ofIÍÍspection
0 Mailed/Faxed
Print Name
Company
Signature:
Date