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JOB LOCATION:
CONTRACTOR:
PROJECT TO BE INSPECTED:
TYPE OF INSPECTION:l2-~~
Violations must be corrected and approved within 30 days unless otherwise noted.
and/or occupancy. Upon completing the corrections, the owner/contractor/agent
and return it to the Inspection Services Division by the Compliance Date of
~'Gllnt INSPECnONQSl.!LTS.
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, VV154903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
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Print Name
Company
Signature:
Date