HomeMy WebLinkAboutCertificate of Occupancy(0 CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: I
City of Oshkosh
Inspection Services Division CONTRACTOR: 1 - W'!
215 Church Avenue, PO Box 1130
Oshkosh, W1 54903 -1130 PROJECT TO BE INSPECTED: I
Phone: (920) 236.5050
1:ax (920) 236 -5084 TYPE OF INSPECTION:
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
ITEM# CODE INSPECTION RESULTS
ACTION TAKEN:
❑ Not Approved/ Insp. Report left on site P Not Approved/ Insp. Report given to ❑ Mailed/Faxed
Signed
Inspection Services Division Date of Inspection Phone #
I hereby certify that the violations listed on this Notice/Report have been corrected.
Print Name Company J
Signature: "Z Date J � r