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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: / l-/7b w8UjA/GIO~ C;T
CONTRACTOR: C U t'fIYfl/6 "
PROJECT TO BE INSPECTED:
TYPE OF INSPECTION: F:t-t'1/;f& J;&5/l¡;aM/\/' GUfqh.J:¿
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City of Oshkosh
Inspecrion Services Division
215 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
c';Þl1>EM'ttß: Ic/'/CKnE ,c".;" ,C,',:;: INSPECTION RESULTS
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Print Name
Company
Signature:
Date