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CORRECTION NOTICE / FIELD INSPECTION REPORT
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rqtyofOshkosh
j%~~~~;~~~e~~~s:~x 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
JOB LOCATION: 411;"-!. I:f N ,^A<2.ïV\ S-t
CONTRACTOR: C."'V";-~S ~\""L .
PROJECTTOBEINS;ECTED: ;;1~ F\....c<"' )..'f~
TYPE OF INSPECTION: -ç ""-,,d q...<::- - :r:.,.SP",,-L.-b""
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
;:4'}¡om: INSPECTION RESULTS
10~Æ .
~ot Approved! Insp. Report left on site 0 Not Approved! Insp. Report given to
Signed \l~~ ~(t1l S-
Inspection Services Division Date of Inspection
0 MailedIFaxed
Print Name
Company
Signature:
Date