HomeMy WebLinkAboutFinal (electric) - 05/27/2004 0 4, CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 6t..50 (/V e/37-g $,2 /t
City of Oshkosh
Inspection Services Division CONTRACTOR: S c'/loan/Y7 £ ��
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903 -1130 PROJECT TO BE INSPECTED:
Phone: (920)236 -5050
Fax (920) 236 -5084 TYPE OF INSPECTION: .F-P/T-%l�C, 6"C
Violations must be corrected and approved within 30 days unless otherwise noted. Call for re- inspections prior to concealment
and/or occupancy. Upon completing the corrections, the owner /contractor /agent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of
lays 1 s MDR INSPECTION RESULT$ : ..y , , ir r0 t
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T/ti5T.4L 12.1�f#k/. ij j / 1 — o) — ‘,1-P D 1-/`
r fon— �-s-�-
2 . j ,7G L 1 `ft 41'6/970 -7O
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❑ Not Approve. • eport left on site ❑ Not Approved/ Insp. Report given to ❑ Mai1e axed
Signed 2 � 'UY 2 ?‘ ` 1[ 1f
Ar , pection Services Division Date of Inspection Phone #
s. t
Print Name Company
Signature: Date