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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: I,Cleo! ~ l""""i.t.,bu..-,^-
CONTRACTOR: Y\Jv.,..........", Ë\..-L.-br-,,-
PROJECT TO BE INSPECTED: N~.....:> (",~"'^"'^ \h \..d~
TYPE OF INSPECTION: KV'\A.\ 'E\~~\--
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_(ityofOshkosh
, spection Services Division
_/5 (huTCh 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
,,'co E INSPECTION RESULTS
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0 Not Approved! Ins . Report left on site iõt Not Approved! Insp. Report given to ¡::'.~-
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ate ofInspectlOn
0 Mailed/Faxed
Print Name
Company
Signature:
Date