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CORRECTION NOTICE / FIELD INSPECTION REPORT
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,.-CityofOshkosh
'pection Services Division
_/5 Church Avenue. PO Box 1130
Oshkosh. WI 54903-1130
Phone, (920) 236-5050
Fax (920) 236-5084
JOB LOCATION: 3õl3B':ç's~
CONTRACTOR: C~IIV'\.~'" ~\~
PROJECT TO BE INSPECTED: "" <.....)' ~ .~'5. ?{2-
TYPE OF INSPECTION: - (2....o~'" ~l~¡;-L....
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
'ii'{(\O])E .0.,,(, -.,'"t" INSPECTION RESULTS
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¥Not Approved! Insp. Report left on site 0 Not Approved! Insp. Report given to
Signed tiu, ~ st~~{I~CtiOn
Inspection Services Division
0 Mailed/Faxed
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Phone #
Print Name
Company
Signature:
Date