HomeMy WebLinkAboutCN - Fix Bath (12/30/03) CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: / i y 4/(9 /7/7- V64 4,0-4-7C 7'
City of Oshkosh
Inspection Services Division CONTRACTOR: p cL' L G L
215 Church Avenue,PO Box 1130
Oshkosh,WI 54903-1130 PROJECT TO BE INSPECTED:
Phone:(920)236-5050
Fax(920)236-5084 TYPE OF INSPECTION: 'i4gam
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`T'EM# 7 CODE INSPECTIONS RESULTS
r— ��- 04r/.f- 6FL
"ACTION TAKE*
❑Not •s rov d/Insp. port left on site 0 Not Approved/Insp.Report given to 0 Mailed/Fax
Sign:, , / 6
I pection Services Division Date of Inspection Phone#
";;;::t. e y certify that tale olio listed on tl Notice lR.eport h wa di
Print Name Company
Signature: Date