HomeMy WebLinkAboutPlumbing (cross connection) - 09/13/2006 INSPECTION SERVICES DIVISION ROOM 205 CITY OF OSHKOSH
� DEPARTMENT OF COMMUNITY DEVELOPMENT 215 CHURCH AVE
OSHKOSH CORRECTION NOTICE PO Box 1130
ON THE WATER OSHKOSH WI 54903-1130
Issue Date 9/13/2006 Compiiance Date 10/13/2006 Compliance No
Address 780 HIGH AVE
Name Address City State 2ip Code
Sent to ✓ Owner BOARD OF REGENTS UNIV OF WIS SY: 800 ALGOMA BLVD OSHKOSH WI 54901 -8601
Required for Occupancy Occupancy
Introduction
Records check for this address finds a registered RPZ valve installed on the water service that has not been tested and �
��certified as functional per requirements of the Administrative Code for Wisconsin.
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Item# 1 Code COMM 82.21 Compliance No Compliance Date 10/13/2006 IMMEDIATELY
Description 3)Maintenance and Testing of Cross Connection Control Devices....a.At the time of installation;b. Immediately after repairs or atterations to
he device;c.At least annually. Unique#950618-1 1/2"Watts 909-Serial#412348
09/13/2006
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Summarv �C eo rr ction will require a certified tester to file a report with the Division of Safety and Buildings, Department of Commerce and
�Iso with the Ciry of Oshkosh Water Department.
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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 10/13/2006
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 of what needs to be inspected.
Signature Date
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
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