HomeMy WebLinkAboutCN - remodeling (04/03/13) 04, CORRECTION NOTICE / FIELD INSPECTION REPORT (0,
JOB LOCATION: 37-) \A CZ:Tict
City of Oshkosh
Inspection Services Division CONTRACTOR: e� 1 �-"ZX`Z.L-> l n
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215 Church Avenue,PO Box 1130
Oshkosh,WI 54903-1130 PROJECT TO BE INSPECTED: �`1g► c:�
Phone:(90)2 3 250-5050 1
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
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• ACTION TAKEN:
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`♦ _ t Approved/Insp.Report left on site ❑ Not Approved/Insp.Report given to ❑ Mailed/Faxed
Signed ( 1-1"611
Inspection Services Division Date of Inspection Phone#
I hereby certify that the violations listed on this Notice/Report have:been corrected.
Print Name Company
Signature: Date