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CORRECTION NOTICE / FIELD INSPECTION REPORT
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CONTRACTOR: -=R\.)"ì::.Q...,t\ ~
PROJECT TO BE INSPECTED: ~
TYPE OF INSPECTION: ~ ßÙ:> Jr~
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JOB LOCATION:
City of Oshkosh
Inwctioo"5'ervices Division
2Í5 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
INSPECTIONRESULTS
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0 Not Approved! Insp. Report left on site 0 Not Approved! Insp. ~eport given to
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Inspection Services Division Date ofInspection
0 MailedIFaxed
Print Name
Company
Signature:
Date