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CORRECTION NOTICE I FIELD INSPECTION REPORT
JOB LOCATION: 560 ~ \Lnc:.A-'e..-c-
CONTRACTOR: \J....) \--\:....-1...J~e.. E:.\~/~-br ;e-
PROJECT TO BE INSPECTED: <\l~ ~ \...~~
TYPE OF INSPECTION: F\..~
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City of Oshkosh
~~pection Services Division
is Church Avenue, PO Box 1130
Oshkosh, VVIS4903-1130
Phone: (920) 236-50S0
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
;110ClDE- - INSPECTIONIUSt!L'l'S -. -
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Print Name
Company
Signature:
Date