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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: Z7~1 +-I4#IL70A/
CONTRACTOR: CI<&4rll/~ c;vJ7~/"1 rh/YE},
PROJECT TO BE INSPECTED: Mv I6hTe
TYPE OF INSPECTION: h;'~J.f'1I r- I'-It+1 c-:
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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 vvithin 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
lNSPECTIONREStTLTS
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Print Name
Company
Signature:
Date