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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 7,1) V~"t Sf,
CONTRACTOR: IN r r~ '^ _ ' . {'J~ [t f' iL
PROJECT TO BE INSPECT D: 5' t:: 11- ~;4'\. Q U
TYPE OF INSPECTION: F4"..,n I ill de _ f ~k t4"r/~
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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/ag~ ust sign and ~te at th bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of '- J /J
j'l'iM# INSPECTION
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City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
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Print Name
Company
Signature:
Date