HomeMy WebLinkAboutCN - Property maint (10/22/12) C04 CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 1 jO NI •mot 'C
City of Oshkosh
Inspection Services Division CONTRACTOR: \.Y> CX
215 Church Avenue,PO Box 1130
Oshkosh,WI 54903-1130 PROJECT TO BE INSPECTED: ,(\„)CZ. 1
Phone.(920)236-5050
Fax(920)236-5084 TYPE OF INSPECTION: 5X `../Ct '
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
+ate
ACTION TAKEN:
trot Approved/Insp.Report left on site ❑ Not Approved/Insp.Report given to ❑ Mailed/Faxed
Signed eA ! /b IZ /IC Z367
Inspection Services Division Date of Inspection Phone# �'
I hereby certify that the violations listed on this Notice/Report havetbeen corrected.`
Print Name Company
Signature: Date