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CORRECTION NOTICE I FIELD INSPECTION REPORT
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PROJECT TO BE INSPECTED: [) ---r I'" u.-£..,.~ a.-))~ Z-~
TYPE OF INSPECTION: \2-0~ ~~rL-
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..--city of Oshkosh
r '¡pection Services Division
, _is 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
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.ê1!DVIf. . ¿tOOm: .:: INSPECTIONRESIJLTS
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~ot Approved! Insp. Report left on site 0 Not Approved! Insp, Report given to
Signed -V ~ Îfc15"
Inspection Services Division ate ofInspection
0 Mailed/Faxed
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Phone #
Print Name
Company
Signature:
Date
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