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� CORRECTION NOTICE / FIELD INSPECTION REPORT �
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JOB LOCATION: 3 �� � - �•
City of Oshkosh -
Inspection Services Division CONTRACTOR: � � �Ci�'
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: y //v�Q
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
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. ACTION TAKENs ,-,•. . .. , �
�Not Approved/ p eport jeft pn� Not Approved/Insp.Report given to � � Mailed/Faxed F
Signed ��1 � \ . i�s/ �o --'� ,�" �) 'L>��_ j���
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Inspecrion Services Division Date of Inspection Phone#
� �t�e certi that t�ae violatitan� listed on tl�i:s Notice/�t ort h�.�� � `� �����
Print Name Company
Signature: Date