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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: J'D35 W rï"Cc.c
CONTRACTOR: ~('Ti\"1
PROJECT TO BE INSPECTED: ~
TYPE OF INSPECTION: ':;;:¡Z -f:ú:" )~ ~
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City of Oshkosh
Insp<ction S"",ices 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 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
, ;n'I!]\:¡:# ': ': '((0»£ ","',";:: ,j INSPECTION RESULTS
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ot Approved! Insp. Report given to
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0 MailedlFaxed
Print Name
Company
Signatnre:
Date