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CORRECTION NOTICE / FIELD INSPECTION REPORT
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Œy of Oshkosh
~spection Services Division
,5 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone, (920) 236-5050
Fax (920) 236-5084
JOB LOCATION: ì rJ \. '-.., '\ 'ðC,nl\:!'...V\
CONTRACTOR: ~~~e..... €l-eLri=r:-L
PROJECT TO BE INSPECTED: -:I'-;yy..M.'f :::SO"'"' ~
TYPE OF INSPECTION: F-::v...o\ b"'È'"-L.-b.--«-"'--
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 ofthis notice
and return it to the Inspection Services Division by the Compliance Date of
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JTJ!.M# CODE INSPEcrION RESULTS
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'!ii(Not Approved! Insp. Report left on site 0 Not Approved! Insp, Report given to
0 MailedlFaxed
Signed \<-e.'t\V\ ~",-#r--
Iospection Services Division
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DatJ of Inspection
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Phone #
Print Name
Company
Signature:
Date