HomeMy WebLinkAboutPlumbign (consult) - 11/04/2009 CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 21z53 Ark hAA
City of Oshkosh
Inspection Services Division CONTRACTOR: O
215 Church Avenue, PO Box 1130
Oshkosh, W154903 -1130 PROJECT TO BE INSPECTED: /e_eA„ / � i «r ' AVS" %f'
Phone: (920) 236 -5050
Fax (920) 236 -5084 TYPE OF INSPECTION: ( 2 , 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
ITEM# CODE I INSPECTION RESULTS + >
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ACTION TA)! ,
❑ Not Approved/ Insp. eport left on site 04 Not Approved/ Insp. Report given to ❑ Mailed/Faxed
Signed 1/ ' r Z J 6 - if
ection Services Division Date of Inspection Phone #
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��'� that � � �� 'listed on this �O1�I��RptJ o ° � � K� � �. � � � �. �, � j _ i= .
Print Name 0 L '
�' ' Company
tc() Signature: I 1 Date
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