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� CORRECTION NOTICE / FIELD INSPECTION REF
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JOB LOCATION: -�/� �,l�.�/�. '
.,ity of Oshkosh � , :
�_'""nspection Services Division CONTRACTOR: �✓1—h,Q �
15 Church Avenue,PO Box 1130
osnkosh,WI 54903-1130 PROJECT TO BE INSPECTED: w� �
Phone:(920)236-5050 � :�
Fax(920)236-5084 TYPE OF INSPECTION:_��,.�' (,�i--�!'I
Violations must be corrected and a roved within 30 da s unless otherwise noted. Call for re-in ecti ns ' '
PP Y sp pnor to concealment
and/or occupancy. Upon completing the corrections,the owner/contractor/agent must sign and datgat the bottom of this notice '
and return it to the Inspection Services Division by the Compliance Date oj ,� —2 �(�
11'EM# CODE INSPECTIONRTSULTS ;-. �<��:`, � ;::.
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D�1Got Approved/Insp.Rep�left on�it"e O Not Approved/Insp.Report given to ❑ Mailed/Faxed
Signed ,���/i .� ,, �`� � �.� � ��
Inspechon Services D vision Date of Inspection Phone#
•=h I her�h certi that the violations listed on t�is I�otice/�Z � brt ha��s��a�.:;--���� - ��
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Print Name t [— �� Company :
Signature: �t� � � � � � Date