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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: ~"¡2:D /f1 Q ",Ie I þ.-
CONTRACTOR: :r¡ Wl f:á" k 0 fA J :- I!.-
PROJECT TO BE INSPECTED: ~"'c.-e ;::~~~/ ,kiV'"~Ác,."-,,,...
TYPE OF INSPECTION: ~#v; I
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City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1 130
Phone: (920) 236-5050
Fax (920) 236-5084
Violations must be colTected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the colTections, 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
INSPECTIONIUSJJLTS
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Print Name
Company
Signature:
Date