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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: ~ì? \i)t<7\~
CONTRACTOR: ~ ~~
PROJECT TO BE INSPECTED: \J'::.~ - b~~
TYPE OF INSPECTION: \ ~IJ- ( ~"U.:;r ~~~)
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City of Oshkosh
Inspection SeNices 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
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Not Approved! Insp. Report given to
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Date oflnspection
0 MailedIFaxed
Print Name
Company
Signatnre:
Date