HomeMy WebLinkAbout21922-Cross Connection Control (survey) 12/27/2013 CITY OF OSHKOSH INSPECTION SERVICES DIVISION ROOM 205 �
215 CHURCH AVE DEPARTMENT OF COMMUNITY DEVELOPMENT �
PO Box 1130 OSHKOSH
OSHKOSH WI 54903-1130 CORRECTION NOTICE
' ON THE WATER
Issue Date 12/27/2013 Re Issue Date _ _ Complies No .
Address 2855 OREGON ST
Sent to ✓ Owner �'�, W-M INVESTMENTS LLC PO BOX 44326 MADISON WI 53711 -0326
Required for Occupancy I Occupancy
Introduction Notification of your correction(s)to the violation(s)cited on the recently conducted cross connection control survey has not
been received.
Item# 1 Code SPS 382.41(3) Complies No Comply By 01/26/2014 IMMEDIATELY
Description Water suppiy systems and the connection of each plumbing fixture, piece of equipment, appliance or nonpotable water piping
system shall be designed, installed and maintained in such a manner to prevent the contamination of water supplies by means .
of cross connections.
Summarv Please make arrangements to correct these violations immediately. Please report the corrections to the Plumbing Inspector
(920)236-5049 M-F 8:00-4:30 so that a follow-up inspection may be scheduled.
Violations must be corrected and approved by the noted compliance dates of each item. 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 retum it to the Inspection Services Division by the Compliance Date of 1/26/2014
Office hours are Monday through Friday 7:30 a.m. -4:30 p.m. or by appointment.To schedule inspections please call the Inspection
Request li at 36-5128 noting the address, permit number(when applicable),and the nature of what needs to be inspected.
Signature Date(�� r(
In pected by: Jon Mueller 236-5049 jmueller@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 ta Q Bldg _
Elec i — - -- —--- -- -- -- ---
HVAC - -- --- —
Plbg -- -- - -- — ---_
Designer �i -- --- — -- — — —— _ --
Other _�� _ ---- - — — — --
Inspector i
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