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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: p ÔcC:; 'v.:I-ç::.:".~\.A.
CONTRACTOR: Þr 'i? e..t<> ~ e¿
PROJECT TO BE INSPECTED: t:='<.d X
TYPE OF INSPECTION: f?""-4>\
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r-C~Ze~~~h;:~ces Division
.15 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
INSPECTIONRli:SULTS
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Inspection Services Division ' Date of Inspection
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Phone #
Print Name
Company
Signature:
Date