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CORRECTION NOTICE / FIELD INSPECTION REPORT
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JOB LOCATION: 3!)}10 '(ì/V>s~....
City of Oshkosh S
~pection Services Division CONTRACTOR: (.L 'D u. ....'0 a ^-
,S Church Avenue, PO Box 1130 _f7'"<"'
Ôshkosh, w! S4903-1 130 PROJECT TO BE INSPECTED: (?-¡a.""" e..- ~L~ ~~~\x,:)
Phone: (920) 236-S0S0
Fax (920)236-5084 TYPE OF INSPECTION: A:.\o,",,-I~ r~: \\~
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
rrE~ ,conE INSPECTION RESULTS
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0 Not Approved! Insp. Report left on site '\3' Not Approved! Insp. Report given to -r .........,..-s E ,c.....
0 Mailed/Faxed
Signed
Print Name
Company
Signature:
Date