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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: Z 7g0 l-IAt1/L 7/Jv
CONTRACTOR: C R.E 471V~ CVS7tJH 'JIonE5
PROJECT TO BE INSPECTED: tJ e,;) H-o/1 E
TYPE OF INSPECTION: Ro\J7h 13/Jj 1- #VA-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 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 ofthis notice
and return it to the Inspection Services Division by the Compliance Date of
INSPECl'IONltESutTS
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or
Print Name
Company
Signature:
Date