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CORRECTION NOTICE / FIELD INSPECTION REPORT
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CONTRACTOR: ~
PROJECT TO BE INSPECTED: ~'Ü'-1l>t'i^-
TYPE OF INSPECTION: ~ ~~
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JOB LOCATION:
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1 130
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 of this notice
and return it to the Inspection Services Division by the Compliance Date of
:;'nODE ,:(,. ..',':.'., INSPECTION RES !LTS
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0 Not Appr~v;d! Insp. Repor¡ left on site ~ot Approved! Insp. Report given to I ) 1\ .i\ OA
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Inspection Services Division Date of Inspection
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Phone #
Print Name
Company
Signature:
Date