HomeMy WebLinkAboutField Inspection Report (finals) - 07/26/2010 �� CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: /7) 9 0 la 1,- Q fe
City of Oshkosh
Inspection Services Division CONTRACTOR: 0 w Ki--r
h9- Box 1130
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Oshkosh, koo sh, , WI 1 54 54903 03-11313 0 PROJECT TO BE INSPECTED: f //,
Phone: (920) 236 -5050
Fax (920) 236 -5084 TYPE OF INSPECTION: V h A ( 5
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 - , _ ,L, )
ITEM# CODE I INSPECTION RESULTS
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ACTION TAKEN:
, Not Approved/ Innsp. Report left on site ❑ Not Approved/ Insp. Report given to ❑ Mailed/Faxed
Signed p. , ?, , yv --, 7o / ,Z. y �' CC)*
Inspection Services Division Date of Inspection Phone # ,
I hereby certify that the violations listed on this Notice/Report have :been corrected.
Print Name Company
Signature: Date