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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOBLOCATION:/.vZ3 ~ aJtaSAi~r-'1.
CONTRACTOR: .::r'; V 1< (j)f:..et:J-:r;rn-ud-IU~~
PROJECT TO BE INSPECTED: -~~,'c.- f/
TYPE OF INSPECTION: ~ ).~
City of Oshkosh
Inspection Services Division
215 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. Can for re-inspections prior to concealment
and/or occupancy. Upon completing the corrections, the owner/contractor/age ust sign an date at the bottom ofthis notice
and return it to the lnspe tion Services Division by the Compliance Date of r-
nE~# 'CODE INSPECTION RESULTS
tJ
Pri.nt Name
Company
Signature:
Date