HomeMy WebLinkAboutPlumbing G91-02436
SAFETY & BUILDINGS D1 VISION
State of Wisconsin
Departmentof Industry, Labor and Human Relations
November 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
1802 BOWEN ST
OSHKOSH
No: 691-02436
WI WINNEBAGO
Reduced Pressure Principle Backf10w P'reventer(s):
SIZE MANUfACTURER MODEL # SERIAL# LOCATION
1 1/411 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, W;scon~in
Statutes, and the Wisconsin Administrative Code. The plans are stamped
"conditionally approved."
Thisappioval is contingent upon compli~nce with any stipulations shown on the
plans and on Attachment Number 1 [SBD-7708 (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 installation to retirement.
\..
Pursuant to the Department'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.
tnqui des concerning this approva r may be made by ca 11 ing (608) 266-8075;
\\erelY,
. ~~~JW .
Section of General Plumbing
Safety and Buildings Division
PGP008/0003w/ 3
Enclosure
cc:. DON KAY
Local Plumbing Inspector
OSHKOSH, CITY OF
.SIlO 6<1:.!31R. UII9I>