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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 5 \ \ """e'(""r\.~
CONTRACTOR: ~ W 1Z.lec....br-r. L-
PROJECT TO BE INSPECTED: GQ..S S~-bt-O^ J L~""~'l'-t
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TYPE OF INSPECTION: F ~\ :E.le~\. '-
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City of Oshkosh
r'lspection 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 of this notice
and return it to the Inspec ""On Services Division by the Compliance Date of
.e:lmM# INSPECTION RESULTS
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Print Name
Company
Signature:
Date