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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: \ ~Q).~ \bo'-U...e..r-
CONTRACTOR: ~\o.e1 1:=\"-e.c:...~<-
PROJECT TO BE INSPECTED: C-- S~('-~
TYPE OF INSPECTION: FY\o..\ . R.c-~J:'~~c...k::'iDIJ'\.
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,r---',jty of Oshkosh
, spection 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
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
PECTION RESULTS
(' ~""t...-c:.r- '5 ~
~Not App'roved! Insp. Report left on site 0 Not Approved! Insp. Report given to
Signed -U ~~4\ "-'-- 5) 15fJ
tion Services Divi'sion D te of Inspection
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Print Name
Company
Signature:
Date