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G
OSHKOSH
ON THE WATER
INSPECTION SERVICES DIVISION
DEPARTMENT OF COMMUNITY DEVELOPMENT
. Room 205
CORRECTION NOTICE
CITY OF OSHKOSH
215 CHURCH AVE
PO Box 1130
OSHKOSH WI 54903-1130
Issue Date 1/2/03
Compliance Date 2/1/03
Compliance No
Address
1857 HARRISON ST
Inspected By Jon Fischer 236-5274
Name
Address
City
OSHKOSH
State Zip Code
WI 54901 -2341
~ Owner
U Contractor
U Other
U Inspector
U Required for Occupancy Occupancy Notice . First 0 Final 0 Other
Violations must be corrected and approved within 30 days unless otherwise noted. Call for reinspections 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 2/1/03
Introduction Following a tree incident this violation was noted.
Sent to
KEITH T HAUSWIRTH
1857 HARRISON ST
o
-0000
o
-0000
Item # Code mun 11 Compliance No Compliance Date 02/01/2003
Description ~ permit must be issued and the service must be brought up to code. If for any reason the service must be alterd or repared an
inspection must also be performed
Summary
Feel free to call me at 236-5274 with any questions that you might have
DEFICIENCIES MUST BE CORRECTED AND APPROVED BEFORE CONCEALMENT. CALL (920) 236-5050 FOR INSPECTION.
Signature
Date
I hereby certify the violations listed on this report have been corrected in compliance with the applicable codes.
Print Name
Company
Signature
Date
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