HomeMy WebLinkAboutFinal (electric) - 12/21/2004 CORRECTION NOTICE / FIELD INSPECTION REPORT CO
JOB LOCATION:
city of Oshkosh
spection Services Division CONTRACTOR:
z15 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130 PROJECT TO BE INSPECTED:
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 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
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[ ACTION TAKEN:
❑ Not Approved/ Insp. Report left on site ❑ Not Approved/ Insp. Report given to ❑ Mailed/Faxed
Signed ` l (r `
Inspection Services Division Date of Inspection Phone #
1 hereby certify that the violations listed on this Notice/Report have been corrected.
Print Name Company
Signature: Date
CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 3 l "� O S V-.c e.1Le.,r
''ity of Oshkosh
spection Services Division CONTRACTOR: .,1.- v -
15 Church Avenue, PO Box 1130
Oshkosh, WI 54903 -1130 PROJECT TO BE INSPECTED: --
Phone: (920) 236 -5050
Fax (920) 236 -5084 TYPE OF INSPECTION: C
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
. 1 f CODE INSPECTION RESIXT$
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❑ Not Approved/ Insp. Report left on site CIC,Not Approved/ Insp. Report given to 0.C-- Altar K— ❑ Mailed/Faxed
Signed /.11,14 /Ot �56-.5b
Ins ction Services Division f Dati of Inspection Phone #
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Print Name Company
Signature: Date