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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: IO~ W,Il-"U-
CONTRACTOR: ~I~
PROJECT TO BE INSPECTED: o.:.~
TYPE OF INSPECTION: f-- ~ I F~
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City of Oshkosh
Inspection Services Division
215 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 ß~Ys unless p¡:h'(rwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the correctiõns, 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
)tTÎ!ÌMIi' " ;!i'QOJ)E ..' ,.,., " INSPECTlON1>I1.SULTS
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0 Not Approved! Insp. Report left on site ~ot Approved! Insp. Report given to T 'IT.~ r
Signed J ¡ c{;)6J ÂoJ-.-. ){j, 9/ Q lp .
Inspection Services Division Date ofInspection
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Print Name
Company
Signature:
Date