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CORRECTION NOTICE / FIELD INSPECTION REPORT
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City of Oshkosh r I ! I J
Inspection Services Division CONTRACTOR: l '-rf>A-6J te. (vr~ ~
215 Church Avenue, PO Box 1130 ,
Oshkosh, WI 54903-1130 PROJECT TO BE INSPECTED: ~:'AV. J../,fl'l JZ-;
Phone: (920) 236-5050 R ~7J
Fu(920)236-5<l84 TYPE OFINSPECfION: Of j
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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JOB LOCATION:
7
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Print Name
Company
Signature:
Date