HomeMy WebLinkAboutCN - Install Fire blocking (7/20/12) 0 CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 1t4 j f IL X \
City of Oshkosh
Inspection Services Division CONTRACTOR:
215 Church Avenue,PO Box 1 130
Oshkosh,WI 54903-1130 PROJECT TO BE INSPECTED: _Z` OS:f1.)L_._.
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
A-h ► )ri_
`k T^1oN ?,4 L 111.4-Q A--
�k oZ'h( be..1) S
• ACTION TAKEN:
❑Not Approved/Insp.Report left on site 111—Not Approved/Insp.Report given to ❑ Mailed/Faxed
Signed k) Cit _._" I Zv :91/4)&e
Inspection Services Division Date of Inspection Phone#
I hereby certify that the violations listed on this Notice/Report have:bean COrreeted.
Print Name Company
Signature: Date