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CORRECTION NOTICE / FIELD INSPECTION REPORT
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JOB LOCATION: \ Dì lAì
City of Oshkosh
Inspection Se.-vices Division CONTRACTOR: (') '^ ¡"vlJl{
215 Church Avenue, PO Box 1130 ()
Oshkosh, WI 54903-ll30 PROJECT TO BE INSPECTED: ß",'¡")... Ken1oJJ
Phone, (920) 236-5050
Fax (920) 236-5084 TYPE OF INSPECTION: ~nlJ... r::,.~rnj
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
FJ&1!1m1!!Im(C. ..'8"1'«>. "."..,1 ,.'c. INSPECTION RESULTS
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Signed
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Date ofInspection .
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Print Name
Company
Signature:
Date