HomeMy WebLinkAboutRough (electric) - 06/22/2004 CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: / ` 010 MO/ l/ m ,�
City of Oshkosh ��
Inspection Services Division CONTRACTOR: t G � / '` -1,
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:
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
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INSPECTION RESULT } ' S` . . .
tczTKc L bill (/14LL l {4L ,4 F/
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❑ Not Approv 0 �/ Insp. ; .. 'It lei on site ❑ Not Approved/ Insp. Report given to ❑ Mailed/Faxed
Signed Ana I I . AL (0- — 0 10 v) 2 e
/ Inspe r +'on Services Division Date of Inspection z 3 6_62,-7 t,( Phone #
at, d 1r )g� r, 1 ` ':&j � ,& :;<< .ate :
Print Name Company
Signature: Date