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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: rJ.,.O b.~Irl- l&...? I d- ~ Ave
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CONTRACTOR: M. ~ M, ~~"{ ~
PROJECT TO BE INSPECTED: (}\d-. lL:) \ ~ ~
TYPE OF INSPECTION: ~~ G:\~L-
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- ""'--"ity of Oshkosh
, spection Services Division
115 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
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
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ftEMit 'conE INSPECTION RESULTS .," ":i'
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Phone #
Print Name
Company
Signature:
Date