HomeMy WebLinkAboutPlumbing State Trans Id #194848 - 11/18/1998 Safety and Buildings
1340 E GREEN BAY ST STE 300
SHAWANO WI 54166
tisconsin - Tommy G. Thompson, Governor
Phi
TN) , �„ 1 a ra „ lip Edw. All bert, Acting Secretary
Department of Commerce ;' _:„ t;
November 18, 1998 {
CUST ID No.120264 .-.r�.� - i � :. ATTN: Plumbing INSPECTOR
AUGUST WINTER & SONS INC '' - r
2323 N ROEMER RD CITY OF OSHKOSH
PO BOX 1896 PO BOX 1130
APPLETON WI 54913 OSHKOSH WI 54902 -1130
RE: CONDITIONAL APPROVAL
APPROVAL EXPIRES: 11/18/2000 Identification Numbers
Transaction ID No. 194848
Site ID No. 146357
SITE• Please refer to both identification numbers,
Site ID: 146357 above, in all correspondence with the agency.
WINNEBAGO County, City of OSHKOSH; Fire Dept ID: 7003; 1221 KNAPP ST, OSHKOSH 54901
Facility: WINNEBAGO CNTY MAINTENANCE GARAGE 1221 KNAPP ST, OSHKOSH 54901
FOR:
Description: 3/4" Watts RP Valve for Boiler Feed
Object Type: Cross Connection Control Device Regulated Object ID No.: 437834 •
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
- A TEST SHALL BE CONDUCTED ON EACH REDUCED PRESSURE PRINCIPLE BACKFLOW
PREVENTER PRIOR TO IT BEING PUT INTO SERVICE, AND A MINIMUM OF ONCE A YEAR
THEREAFTER.
- It is the responsibility of the owner to make sure the device is tested and that the test report forms (SBD-
9927) is sent to the Safety and Buildings Division upon completion of the test. The test shall be performed by
a department - listed Backflow Prevention Device Tester. A list of testers is available from the department
upon request.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, DATE RECEIVED 11/17/1998 •
�/ FEE REQUIRED $ 110.00
FEE RECEIVED $ 110.00
CURT WENDORFF , PLUMBING PLAN REVIEWER BALANCE DUE $ 0.00
Integrated Services
(715)526 - 9056 , M - R 7:15 AM - 5:00 PM, F 7:15 - 11:15
CWENDORFF @COMMERCE.STATE.WI.US WiSMART code: 7657
cc: WINNEBAGO COUNTY