HomeMy WebLinkAboutCN - fireblock (03/06/13) 0 CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: '''''''''—'-' , * il i i 1.4-1
City of Oshkosh Inspection Services Division CONTRACTOR:
215 Church Avenue,PO Box 1130 ) {j
Oshkosh,WI 54903-1130 PROJECT TO BE INSPECTED: � ' �� I"�I f` ., ("
Phone:(920)236-5050 a
Fax(920)236-5084 TYPE OF INSPECTION: ..‹.(+? 0 --."
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# CODE INSPECTION RESULTS
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ACTION TAKEN:
❑Not Approved/Insp.Report left orn,site ,lei. tot Approved/Insp.Report given to ,:,./k."d- -',:e:~'' ❑ Mailed/Faxed
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Signed ." ... /
Inspection Services Division Date of Inspection Phone#
I hereby certify that the violations listed on this Notice/Report have - n corrected.
Print Name Company
Signature: Date