HomeMy WebLinkAboutRough (electric) - 07/27/2010 0 4, CORRECTION NOTICE / FIELD INSPECTION REPORT n
JOB LOCATION:
City of Oshkosh
Inspection Services Division CONTRACTOR:
215 Church Avenue, PO Box 1 130
Oshkosh, W1 54903 -1130 PROJECT TO BE INSPECTED: ? f vre
Phone: (920) 236 -5050
Fax (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 m st sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of - ,
TTEM# J CODE INSPECTION RESULTS
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ACTION TAKEN:
❑ Not Approved/ Insp. Report left on site ❑ Not Approved/ Insp. Report given to ❑ Mailed/Faxed
Signed l ,-,
Inspection Services Division Date of Inspection Phone #
• I hereby certify that the violations listed on this Notice/Report have been corrected. I
Print Name Company
Signature: Date