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CORRECTION NOTICE / FIELD INSPECTION REPORT
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CONTRACTOR: /VI ) ÞWð.\
PROJECT TO BE INSPECTED: L.ErT S/1::E
TYPE OF INSPECTION: Fin...)
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JOB LOCATION:
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
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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
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jNot Approved! Insp, Report left on site 0 Not Approved! Insp. Report given to
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pection Services Division ate of Inspection
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Print Name
Company
Signature:
Date
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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: ,:;?;"'3.1~~~;~ '
CONTRACTOR: ~ /'1 fDbJ£5T
PROJECT TO BE INSPECTED: ":RI(~ 51;)€. ~ 1 € x
TYPE OF INSPECTION: FI'J1C<.-
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City of Oshkosh
Inspe<:tion Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI54903.I 130
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
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0 Mailed/Faxed
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Phone #
Print Name
Company
Signature:
Date