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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 4 t;l lc) ~
City of Oshkosh ~ \ ~t
~spectionServicesDivision CONTRACTOR: l ~JOI ~~ rz.-...x..~
< )5 Church Avenue, PO Box 1130 ~ ~
Oshkosh, WI 54903-1130 PROJECT TO BE INSPECTED: c::::::.l \-
Phone: (920) 236-5050 C
Fax (920)236-5084 TYPE OF INSPECTION: D<2.c'~ r~ ~a~ ~
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 of this notice
and return it to the Inspection Services Division by the Compliance Date of
."tJ\1SM#CQl)E INSPECTION RJSl.!LtS
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Print Name
Company
Signature:
Date