HomeMy WebLinkAboutCN - repair fire damage (04/23/13) (4-1'D CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: j 10 'i l f it), l,r
City of Oshkosh
Inspection Services Division CONTRACTOR: S t, t,' LLC
215 Church Avenue,PO Box 1130
Oshkosh,WI 54903-1130 PROJECT TO BE INSPECTED: 4,et, {-irV d 6
Phone:(920)236-5050 � � 4
Fax(920)236-5084 TYPE OF INSPECTION: I""`�5h iI p
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 I INSPEOliON RESULTS
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' ACTION TAKEN:
❑Not Approved/Insp.Report left on site 14,Not Approved/Insp.Report given to Se cii. ❑ Mailed/Faxed
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Signed � >�j i��Cs ytiJ<��:
Inspection Services Division Date of Inspection Phone#
I hereby certify that the violations listed on this Notice/Report hit ` � e a .
Print Name Company
Signature: Date