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CORRECTION NOTICE I FIELD INSPECTION REPORT
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JOB LOCATION: J-I ~ C) .. . r-~ () ""
CONTRACTOR:-1t n ~ ().~ ~.t . (' '. \)
PROJECT TO BE INSPECTED:Cn ,.. O~ f) ~".. \
TYPE OF 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
Violations must be corrected alld 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 ofthisnotice
and return it to the Inspection Services Division by the Compliance Date of
INSPECTION RESULtS
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o Not ApproveCl/fusl'.R.ePort given to
o Mailed/Faxed
Print Name
Signature:
Date