HomeMy WebLinkAboutPlumbing G91-02435
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SAI<'ETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
~ovember 18, 1991
201 East Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
HANSEN PLUMBING
630 W 3RD ST
OSHKOSH WI 54901
Owner: OSHKOSH, CITY OF
215 CHURCH AVE
OSHKOSH WI 54901
Re:
Plan Identification
OSHKOSH, CITY Of
117 W 2BTH AVE
OSHKOSH
No: G91-02435
WI WINNEBAGO
Reduced Pressure Principle Backflow Preventeilll.;.
SIZE MANUFACTURER MODEL # SER~ LOCATION
3/4'. WATTS 909 PUMPING STATION
The plumbing plans and specifications for this project have been reviewed for
compliance with chapters ILHR 82 and 84, Wisconsin Administrative Code.
Conditional approval is hereby issued based on Chapter 145, Wisconsin
Statutes, and the Wisconsin Administrative Code. The plans are stamped
"conditionally approved."
This approval is contingent upon compliance with any stipulations shown on the
plans and on Attachment Number 1 {SBD-770B (R.8/89)].
A complete history should be maintained by the owner for each device including
all periodic visual inspections, repairs and testing of the device from date
of instf llati on to reti rement.
Pursuant to the Oepartment.s responsibility under section 145.02, Wisconsin
Statutes, to safeguard the public health and the waters of the state, the
Department reserves the right to require removal of any device that does not
provide protection against backflow.
Inquiries concerning this approval may be made by calling (60B) 266-8075.
~.~\CL~:~~CJr
~ KRAFT I .
Sectio~ of General Plumbing
Safety and Buildings Division
. PGP008/0003w/ 2
Enclosure
cc: DON KAY
Local Plumbing Inspector
OSHKOSH, CITY OF
SIlDl>I~3IR. 011911