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OSHKOSH
ON THE WATER
INSPECTION SERVICES DIVISION
DEPARTMENT OF COMMUNITY DEVELOPMENT
Room 205
CORRECTION NOTICE
CITY OF OSHKOSH
215 CHURCH AVE
PO Box 1130
OSHKOSH WI 54903-1130
Issue Date ~ Compliance Date 12/6/02
Name
Address
Compliance No
Inspected By WJ (Chip) Callies 236-5052
City State Zip Code
Oshkosh WI 54901 -0000
Address
2471 2475 PATRIOT LN
~ Owner
~ Contractor I WATTERS PLUMBING
U Other I
U Inspector I
~ Required for Occupancy I Occupancy Notice . First () Final 0 Other
Violations must be corrected and approved within 30 days unless otherwise noted. Call for reinspections 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 12/6/02
Introduction An inspection of the plumbing on 11/4/02 revealed the following violation(s):
Sent to
1303 MIDWAY RD, PO BOX 118
MENASHA
WI 54952 -0000
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0 -0000
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Item # Code OMC 20-9 Compliance No Compliance Date 12/06/2002 IMMEDIATELY
Description DELINQUENT FEES No record on file of ever having received water calculation work sheets. REMIT $100 DOLLARS TO
HE CITY OF OSHKOSH
SummarY
au will be required to make payment no later than 12/6/02.
DEFICIENCIES MUST BE CORRECTED AND APPROVED BEFORE CONCEALMENT. CALL (920) 236-5050 FOR INSPECTION.
Signature
Date
I hereby certify the violations listed on this report have been corrected in compliance with the applicable codes.
Print Name
Company
Signature
Date
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