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CORRECTION NOTICE / FIELD INSPECTION REPORT
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CONTRACTOR: --n ~ .~
PROJECT TO BE INSPECTED: ~\-
TYPE OF INSPECTION: ¡::::- bù:::::> / r- H~C
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JOB LOCATION:
City of Oshkosh
Inspec6on S"",ices Division
215 Church Avenue, PO Box 1 130
Oshkosh, WI 54903-1130
Phone: (920)236-5050
Fax (920) 236-5084
Violations must be coITected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the coITections, 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
INSPECTION,RESULTS
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Print Name
Company
Signature:
Date