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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: Jz::A 1t~ ~
CONTRACTOR: _ "'t.. _ ~ _
PROJECT TO BE INSPECTED: h~~:> Ce~r-
TYPE OF INSPECTION: ~INL\ ~\.~~\L-
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City of Oshkosh
~spection Services Division
,15 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 of this notice
and return it to the Inspection Services Division by the Compliance Date of
zttl.SMtl, .COI)E INSPECTION RESULTS
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Print Name
Company
Signature:
Date