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CORRECTION NOTICE I FIELD INSPECTION REPORT
JOB LOCATION: ~~ lðe~u>'" ~
CONTRACTOR: (I, ~ ~é>I....>G<""""
PROJECT TO BE INSPECTED: A \ \-\:.c:...\ \
TYPE OF INSPECTION: ~~'\ ~\.e~;-L-
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City of Oshkosh
("¡pection Services Division
)5 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 ofthis notice
and return it to the Inspection Services Division by the Compliance Date of
INSPECTION
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10 -
0 Not Approved! Insp. Report given to
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Date oflnspectJon
0 MailedlFaxed
Print Name
Company
Signature:
Date