HomeMy WebLinkAboutFinal (electric) - 12/29/2004 CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 76 V S %a /Zc t i / D
City of Oshkosh
Inspection Services Division CONTRACTOR: Pc KA/17� 61,6
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: 4 4L_ CLOG j �
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
,4EM# - - ..' CODE INSPECTION RESULTS 4` "�igell ,J
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❑ Not Approve. Insp. epo left on site ❑ Not Approved/ Insp. Report given to ❑ Mailed/Faxed
Signed / a 2 Z 4 2 ?f7 — 5 '12o
Inspection Services Division Date of Inspection Phone #
Print Name Company
Signature: Date