HomeMy WebLinkAboutRough (electric) - 05/02/2011 0 CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: /72-) 1 /11 P 5- 647`10
City of Oshkosh
Inspection Services Division CONTRACTOR: l U [
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130 PROJECT TO BE INSPECTED: Pro: \ 1. V 'IA,- W\C416,
Phone: (920) 236 -5050 /-
Fax (920) 236 -5084 TYPE OF INSPECTION: V- -
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
I ITEM# CODE INSPECTION RESULTS
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ACTION TAKEN:
❑ Not Approved/ Insp. Report left on ite ❑ Not Approved/ Insp. Report given to "' 41," , ❑ Mailed/Faxed
Signed ,G 1 ". r- / 4' '' ' 2
Inspection Services Division Date of Inspection Phone #
I hereby certify that the violations listed on this Notice/Report have been corrected.
Print Name Company
Signature: Date