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CORRECTION NOTICE / FIELD INSPECTION REPORT
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CONTRACTOR: O~
PROJECT TO BE INSPECTED: ~~-
TYPE OF INSPECTION: -=R ~ } Y-~
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JOB LOCATION:
City of Oshkosh
Inspection SoMces Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1 130
Phone: (920) 236-5050
Fax (920) 236-5084
Violations must be colTected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the colTections, 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
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0 Mailed/Faxed
Print Name
Company
Signature:
Date