HomeMy WebLinkAboutCN - Addition (01/25/13) CORRECTION NOTICE / FIELD INSPECTION REPORT
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JOB LOCATION: r ' '-
City of Oshkosh
Inspection Services Division CONTRACTOR: 1 , y, ,4i
215 Church Avenue,PO Box 1130
Oshkosh,W154903-1130 PROJECT TO BE INSPECTED: `, ;+ `
Phone:(920)236-5050 ;1
Fax(920)236-5084 TYPE OF INSPECTION: .✓. : 1 i d ` j
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 y INSPECTION RESULTS ry�
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. ACTION TAKEN: .
Not Approved/Insp.Report left on site ❑ Not Approved/Insp.Report given to ❑ Mailed/Faxed
Signed
Inspection Services Division Date of Inspection Phone#
` I h e r e b y certify t h a t t h e v i o l a t i o n s listed on t h i s N o t i c e/R e p o r t ha n c r ed.
Print Name Company
Signature: Date