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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: ~O \ 8 \..c> a """v, V>ct.r '^
CONTRACTOR: ~_~ r;:_\..e~\r-"t: "-
PROJECT TO BE INSPECTED: I\te~ 1...c:>IIA.v'V'-.~' R \.d t;
TYPE OF INSPECTION: h~\ ~'-e-~L-
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City of Oshkosh
,~pection Services Division
,'5 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 ofthis notice
and return it to the Inspection Services Division by the Compliance Date of
...DM# . CODE INSPECTION RESULTS
6
10
Not Approved! Insp. Report given to
\ \ !d. ~InspectiOn
Print Name
Company
Signature:
Date