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CORRECTION NOTICE I FIELD INSPECTION REPORT
JOB LOCATION: '2 7 $f If/J..11Jl-10/l/ ) T
CONTRACTOR: f) e-:t.. 5/fnl
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PROJECT TO BE INSPECTED:
TYPE OF INSPECTION: ~ tti""c;,rrt-];l FJ:'A/--1L
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City of Oshkosh
Inspection 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 ovvner/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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Print Name
Company
Signature:
Date