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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 500 ~ \l.oe..\ \c.r-
CONTRACTOR: ~V'\~(""I'" ~leL~lL- I R......dt\e..oc- J A:-~
PROJECT TO BE INSPECTED: ~(j~ 0 ~. ~ ltJ~~ 'OS
TYPE OF INSPECTION: ~o"-- e.. C c:-,,\, ~
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- City of Oshkosh
f~pection Services Division
J5 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
. .J"I':I!1M# ...COI)E INSPECTION RESULTS
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Print Name
Company
Signature:
Date