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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: ~D \;) b ~
CONTRACTOR: e, ~ ~ 'E\~L......
PROJECT TO BE INSPECTED: J\\ ~"'-t c...\ u..'D
TYPE OF INSPECTION: ~""'v\at.\ ~\~\ '--
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City of Oshkosh
~';pection Services Division
)5 Church Avenue, PO Box 1130
-cr~hkosh, VVI54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
Violations must be corrected and approved within 30 days unless othervvise 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
.. "DMi .COl)E INSPECTION RESULTS
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Print Name
Company
Signature:
Date