HomeMy WebLinkAbout2007-Backflow test
G
OSHKOSH
ON THE WATER
Issue Date 5/16/2007
Address 1404 S MAIN ST
INSPECTION SERVICES DIVISION ROOM 205
DEPARTMENT OF COMMUNITY DEVELOPMENT
CORRECTION NOTICE
CITY OF OSHKOSH
215 CHURCH AVE
PO Box 1130
OSHKOSH WI 54903-1130
Compliance Date 6/15/2007
Compliance No
Sent to
Name
~ Owner ~ KEPLAR LLC
Address
40 W 6TH AVE
City
OSHKOSH
State Zip Code
WI 54902 - 0000
Introduction
U Required for Occupancy Occupancy
City records indicate that an backflow protection device in service on the boiler water supply has not been tested and certified
as required.
Item # Code COMM 82.21(3) Compliance No Compliance Date 06/15/2007 IMMEDIATELY
Description ...A performance test shall be conducted for the devices listed in Table 82.21-1 at....least annually.
05/16/2007
Last
Updated
Summl!rt [resting of this type of device requires a registered tester who must file a copy of the test report with the City and with the State.
Violations must be corrected and approved within 30 days unless otherwise noted. Call for reinspections 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 6/15/2007
Office hours for obtaining permits are Monday through Friday 7:30-8:30 a.m. and 12:30-1 :30 p.m. or by appointment. To schedule
inspections please call the Inspection Request line at 236-5128 noting the address, permit number (when applicable), and the
nature Ofwha~,t~e inspected.
Signature ~~/ L-/{~/ Date 5"!~/o7
Inspected by: Rich Wood 236-5049 rwood@ci.oshkosh.wi.us
I hereby certify the violations listed on this report have been corrected in compliance with the applicable codes.
Print Name
Company
Signature
Date
Also Sent to: U Bldg
U Elec
U HVAC
U Plbg
U Designer
U Other
U Inspector
12603
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