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CORRECTION NOTICE I FIELD INSPECTION REPORT ~
JOB LOCATION: 3 ~ 6 () (fA fL 8 OJ/l../ ~ A 'f !l-tJ
CONTRACTOR: /6 0,
PROJECT TO BE INSPECTED:
TYPE OF INSPECTION: ~ en (/r{ r:::-
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
:iJ;<(1t)Blt . INSPEC110NUSULTS
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11/17 t:l::l
Print Name
Company
Signature:
Date