HomeMy WebLinkAboutFinal & Service (electric) - 04/29/2011 11 CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: ,Z S f 4zk ,/
City of Oshkosh ,
Inspection Services Division CONTRACTOR: $.
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903 -1130 PROJECT TO BE INSPECTED: 1/
Phone: (920) 236 -5050
Fax (920) 236 -5084 TYPE OF INSPECTION: 5 /G :( i ;1 i r
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 2 .ri- 7 V
Inspection Services Division Date of Inspection Phone #
I hereb certi that the violations listed on this Notice/R - sort have been corrected.
Print Name Company
Signature: Date