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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: J J I D W }qM
CONTRACTOR: '5-f"c'EZL1 t-JG-
PROJECT TO BE INSPECTED: :B>. ~~
TYPE OF INSPECTION: c::r\ e.~
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City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, VVI54903-1130
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
and10r occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of
l1Jl/ltMj ,""CODE . INSPECTION RESULTS ,,) .. .
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Print Name
Company
Signature:
Date