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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 1..\ \5""- Y\î 1-.L M..c.\ II- "5 '=-
CONTRACTOR: C u...vn '^~ s £. \=-<=-
PROJECT TO BE INSPECTED:
TYPE OF INSPECTION: n~ ~~
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~ityofOshkosh
, )pe<:tion Services Division
_/5 Church Avenue, PO Box 1130
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
';:(10])E " :ct . <:':'i'.. INSPECTION RESULTS ..
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[tNot Approved! Insp. Report left on site
Signed ~
Inspection Services Division
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0 Not Approved! Insp. Report given to
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Date of Inspection
0 Mailed/Faxed
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Phone #
Print Name
Company
Signature:
Date