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CORRECTION NOTICE / FIELD INSPECTION REPORT
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JOB LOCATION: /)0 N Jl---~II~r-
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I '¡pection Services Division CONTRACTOR: 1."Jr"", u......... G-\..-,. ~L-.
__15 Church Avenue, PO Box 1130
Oshkosh,WI54903-1130 PROJECT TO BE INSPECTED: \1cr-\t" ~.......,..~
Phone' (920) 236-5050
Fax (920) 236-5084 TYPE OF INSPECTION: ,::\"'""-- \ J AIo't ¿ ~ \có-
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
K;;fl1iEM¡I'( , 'oonE ' <i', INSPECTION RESULTS
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. b. ~- \.Q~ \.::>.,~ 6....""£'.,~ ~.-b<-....~ --
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0 Not Approved! Insp'. Report left on site ~ot Approved! Insp. Report given to £:. C : ~ éo.. L
Signed \10... ~ 9M4-".f...O\t, 1~1cJJ:;/t:> r
Inspection Services Division Dáte otInspection
0 MailedlFaxed
/?.'36-so'-£b
Phone #
Print Name
Company
Signature:
Date